Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,413.10 / $14,454.40	Facility		$870.96	$7,413.10	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,949.84 / $3,235.94	Facility		$501.19	$1,949.84	$3,235.94
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $1,174.90	Facility		$562.34	$758.58	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $14,125.38	Facility		$1,148.15	$5,128.61	$14,125.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $50,118.72	Facility		$9,549.93	$9,549.93	$50,118.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99