Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.66 / $593.66 / $783.91	Facility		$593.66	$593.66	$783.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $237.82	Professional		$4.78	$4.78	$237.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.75 / $663.49 / $938.56	Facility		$271.75	$663.49	$938.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $286.10 / $357.63	Facility		$210.97	$286.10	$357.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $357.63 / $357.63	Professional		$232.46	$357.63	$357.63
United Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $178.82 / $357.63	Professional		$160.93	$178.82	$357.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $622.28 / $1,698.74 / $1,698.74	Facility		$622.28	$1,698.74	$1,698.74