Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $7,944.78 / $10,690.00	Facility		$1,615.00	$7,944.78	$10,690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $13,652.00	Facility		$606.10	$606.10	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.15 / $2,006.96 / $3,215.12	Facility		$1,621.15	$2,006.96	$3,215.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $249.34 / $280.97 / $512.92	Facility	AS	$249.34	$280.97	$512.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $20,700.13 / $20,700.13	Facility		$5,000.00	$20,700.13	$20,700.13
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $230.92 / $402.97 / $809.38	Facility	AS	$230.92	$402.97	$809.38