Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $1,195.20 / $1,578.24	Facility		$576.00	$1,195.20	$1,578.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $568.79 / $576.00	Professional		$478.80	$568.79	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.09 / $936.00 / $1,890.46	Facility		$547.09	$936.00	$1,890.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $576.00 / $720.00	Facility		$432.00	$576.00	$720.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $720.00 / $720.00	Professional		$468.00	$720.00	$720.00
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $849.60 / $864.00	Facility		$720.00	$849.60	$864.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $360.00 / $720.00	Professional		$324.00	$360.00	$720.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,252.80 / $3,420.00 / $3,420.00	Facility		$1,252.80	$3,420.00	$3,420.00