Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,413.10 / $10,471.29	Facility		$1,621.81	$7,413.10	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $35,481.34	Facility		$489.78	$602.56	$35,481.34
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	22	$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	AS	$199.53	$199.53	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,238.72	Facility		$1,071.52	$1,412.54	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,248.07 / $14,125.38	Facility		$1,148.15	$5,248.07	$14,125.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,715.19 / $10,715.19	Facility		$1,995.26	$10,715.19	$10,715.19
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	AS	$1,071.52	$1,071.52	$1,071.52