Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,760.83 / $10,471.29	Facility		$1,659.59	$6,760.83	$10,471.29
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 $3,981.07 / $3,981.07 / $3,981.07	Facility	22	$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	AS	$331.13	$331.13	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,801.89	Facility		$1,819.70	$2,398.83	$3,801.89
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 $2,818.38 / $17,782.79 / $17,782.79	Facility		$2,818.38	$17,782.79	$17,782.79
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	AS	$1,778.28	$1,778.28	$1,778.28