Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,011.87 / $23,442.29	Facility		$1,445.44	$5,011.87	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,630.27	Facility		$1,258.93	$1,659.59	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $6,309.57	Facility		$309.03	$1,819.70	$6,309.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,022.64 / $12,022.64	Facility		$10,232.93	$12,022.64	$12,022.64
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26