Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.58 / $512.58 / $512.58	Facility		$512.58	$512.58	$512.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.51 / $512.58 / $512.58	Professional		$448.51	$512.58	$512.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.85 / $1,335.07 / $1,682.29	Facility		$486.85	$1,335.07	$1,682.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $668.63 / $835.78	Professional		$668.63	$668.63	$835.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $512.58 / $640.73	Facility		$384.44	$512.58	$640.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.47 / $640.73 / $640.73	Professional		$416.47	$640.73	$640.73
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $320.37 / $640.73	Professional		$269.11	$320.37	$640.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,114.86 / $3,043.47 / $3,043.47	Facility		$1,114.86	$3,043.47	$3,043.47