Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.30 / $1,775.30 / $1,775.30	Facility		$1,775.30	$1,775.30	$1,775.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,553.39 / $1,775.30 / $1,775.30	Professional		$1,553.39	$1,775.30	$1,775.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.20 / $4,623.22 / $5,826.18	Facility		$1,686.20	$4,623.22	$5,826.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $2,549.86 / $3,187.33	Professional		$2,549.86	$2,549.86	$3,187.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,509.01 / $2,219.13	Facility		$1,331.48	$1,509.01	$2,219.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,442.43 / $2,219.13 / $2,219.13	Professional		$1,442.43	$2,219.13	$2,219.13
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,109.57 / $2,219.13	Professional		$932.03	$1,109.57	$2,219.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,861.29 / $10,540.87 / $10,540.87	Facility		$3,861.29	$10,540.87	$10,540.87