Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.30 / $1,761.30 / $1,761.30	Facility		$1,761.30	$1,761.30	$1,761.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.14 / $1,761.30 / $1,761.30	Professional		$1,541.14	$1,761.30	$1,761.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,672.90 / $1,818.86 / $4,586.83	Facility		$1,672.90	$1,818.86	$4,586.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.63 / $2,529.63 / $3,162.03	Professional		$2,529.63	$2,529.63	$3,162.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,541.14 / $1,761.30 / $2,201.62	Facility		$1,541.14	$1,761.30	$2,201.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,431.05 / $2,201.62 / $2,201.62	Professional		$1,431.05	$2,201.62	$2,201.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.81 / $1,100.81 / $2,201.62	Professional		$1,100.81	$1,100.81	$2,201.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,830.82 / $10,457.70 / $10,457.70	Facility		$3,830.82	$10,457.70	$10,457.70