Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,577.00	Facility		$760.00	$760.00	$1,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.75 / $760.00 / $807.50	Professional		$631.75	$760.00	$807.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.86 / $1,322.32 / $2,493.63	Facility		$721.86	$1,322.32	$2,493.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $950.00 / $1,425.00	Facility		$760.00	$950.00	$1,425.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $950.00 / $950.00	Professional		$617.50	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $570.00 / $978.50	Professional		$475.00	$570.00	$978.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $4,512.50 / $4,512.50	Facility		$1,653.00	$4,512.50	$4,512.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $7,125.00	Professional		$4,750.00	$4,750.00	$7,125.00