Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,584.89 / $2,951.21	Facility		$691.83	$1,584.89	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,096.48 / $1,380.38	Professional		$346.74	$1,096.48	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $346.74 / $588.84	Facility		$109.65	$346.74	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,862.09	Facility		$660.69	$1,096.48	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $724.44	Facility		$144.54	$380.19	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $812.83	Professional		$363.08	$478.63	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,162.28	Professional		$1,905.46	$1,905.46	$3,162.28