Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $608.00 / $1,261.59	Facility		$608.00	$608.00	$1,261.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $608.00 / $608.00	Professional		$532.00	$608.00	$608.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.49 / $1,410.47 / $1,995.44	Facility		$577.49	$1,410.47	$1,995.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $873.50 / $1,091.86	Professional		$608.00	$873.50	$1,091.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $608.00 / $760.00	Facility		$456.00	$608.00	$760.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $760.00 / $760.00	Professional		$494.00	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $380.00 / $760.00	Professional		$319.20	$380.00	$760.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00