Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,130.08 / $4,130.08 / $5,453.70	Facility		$4,130.08	$4,130.08	$5,453.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,654.52 / $1,741.60 / $1,741.60	Professional		$1,654.52	$1,741.60	$1,741.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,890.51 / $4,617.43 / $6,531.65	Facility		$1,890.51	$4,617.43	$6,531.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $1,990.40 / $2,488.00	Facility		$1,492.80	$1,990.40	$2,488.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,617.20 / $2,488.00 / $2,488.00	Professional		$1,617.20	$2,488.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.59 / $1,244.00 / $2,488.00	Professional		$1,119.59	$1,244.00	$2,488.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,329.12 / $11,818.00 / $11,818.00	Facility		$4,329.12	$11,818.00	$11,818.00