Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.74 / $633.74 / $633.74	Facility		$633.74	$633.74	$633.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.52 / $633.74 / $633.74	Professional		$554.52	$633.74	$633.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.92 / $654.45 / $1,650.48	Facility		$601.92	$654.45	$1,650.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $633.74 / $792.17	Facility		$554.52	$633.74	$792.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $792.17 / $792.17	Professional		$514.91	$792.17	$792.17
United Facility/Professional Professional Modifier Low / Median / High Price $356.48 / $396.09 / $792.17	Professional		$356.48	$396.09	$792.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,378.38 / $3,762.81 / $3,762.81	Facility		$1,378.38	$3,762.81	$3,762.81