Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $312.60 / $312.60	Facility		$312.60	$312.60	$312.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $312.60 / $312.60	Professional		$273.52	$312.60	$312.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.91 / $814.12 / $1,025.74	Facility		$296.91	$814.12	$1,025.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $265.70 / $390.75	Facility		$234.45	$265.70	$390.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $390.75 / $390.75	Professional		$253.99	$390.75	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $195.38 / $390.75	Professional		$195.38	$195.38	$390.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $679.91 / $1,856.06 / $1,856.06	Facility		$679.91	$1,856.06	$1,856.06