Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.33 / $1,338.00 / $10,924.00	Facility		$623.33	$1,338.00	$10,924.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $727.96 / $35,600.00	Facility		$0.71	$727.96	$35,600.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	AS	$71.77	$71.77	$71.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $623.33 / $787.00 / $1,159.95	Facility		$623.33	$787.00	$1,159.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $93.66 / $110.18 / $162.38	Facility	AS	$93.66	$110.18	$162.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,188.24 / $10,160.00 / $13,486.75	Facility		$4,188.24	$10,160.00	$13,486.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $142.47 / $1,279.44 / $1,279.44	Facility	AS	$142.47	$1,279.44	$1,279.44