Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,205.19 / $7,439.00	Facility		$1,615.00	$2,205.19	$7,439.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,205.19 / $2,994.75 / $4,143.57	Facility		$2,205.19	$2,994.75	$4,143.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $386.21 / $508.48 / $697.72	Facility	AS	$386.21	$508.48	$697.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $3,828.00 / $6,388.00	Facility		$1,028.00	$3,828.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $23,339.16 / $23,339.16	Facility		$5,000.00	$23,339.16	$23,339.16
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $318.39 / $559.38 / $1,115.52	Facility	AS	$318.39	$559.38	$1,115.52