Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $8,709.64	Facility		$977.24	$1,621.81	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $1,698.24	Facility		$489.78	$575.44	$1,698.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Facility		$933.25	$1,230.27	$1,949.84
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 $56.23 / $7,943.28 / $7,943.28	Facility		$56.23	$7,943.28	$7,943.28
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33