Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.60 / $717.60 / $717.60	Facility		$717.60	$717.60	$717.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $717.60 / $717.60	Professional		$627.90	$717.60	$717.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.59 / $1,868.83 / $2,354.85	Facility		$681.59	$1,868.83	$2,354.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,288.56	Professional		$1,030.84	$1,030.84	$1,288.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $609.96 / $897.00	Facility		$538.20	$609.96	$897.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $897.00 / $897.00	Professional		$583.04	$897.00	$897.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $448.50 / $897.00	Professional		$448.50	$448.50	$897.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,560.78 / $4,260.75 / $4,260.75	Facility		$1,560.78	$4,260.75	$4,260.75