Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.04 / $2,595.04 / $12,615.00	Facility		$1,607.04	$2,595.04	$12,615.00
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 $1,672.02 / $2,067.91 / $3,307.26	Facility		$1,672.02	$2,067.91	$3,307.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $289.51 / $529.03	Facility	AS	$257.88	$289.51	$529.03
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 / $21,335.05 / $21,335.05	Facility		$5,000.00	$21,335.05	$21,335.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $238.02 / $415.18 / $833.70	Facility	AS	$238.02	$415.18	$833.70