Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,862.09 / $8,709.64	Facility		$645.65	$1,862.09	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Professional		$707.95	$707.95	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $977.24	Facility		$489.78	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $3,548.13	Facility		$1,995.26	$3,548.13	$3,548.13