Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $6,649.00 / $7,003.99	Facility		$901.00	$6,649.00	$7,003.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,587.44	Facility		$530.04	$530.04	$1,587.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $772.51 / $938.83 / $1,545.33	Facility		$772.51	$938.83	$1,545.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.92 / $131.44 / $244.42	Facility	AS	$115.92	$131.44	$244.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,512.26 / $7,162.00 / $10,397.00	Facility		$1,512.26	$7,162.00	$10,397.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,509.66 / $5,499.96 / $16,394.00	Facility		$4,509.66	$5,499.96	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $180.12 / $298.95 / $497.27	Facility	AS	$180.12	$298.95	$497.27