Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.30 / $1,663.64 / $7,329.00	Facility		$1,087.30	$1,663.64	$7,329.00
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 $1,087.30 / $1,331.26 / $2,155.52	Facility		$1,087.30	$1,331.26	$2,155.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.68 / $186.38 / $344.02	Facility	AS	$169.68	$186.38	$344.02
United Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $3,994.00 / $6,543.00	Facility		$806.00	$3,994.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,421.45 / $11,421.45	Facility		$55.00	$11,421.45	$11,421.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $155.63 / $275.18 / $550.26	Facility	AS	$155.63	$275.18	$550.26