Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $254.52 / $2,692.08	Facility		$48.93	$254.52	$2,692.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $635.20 / $635.20 / $635.20	Facility	50	$635.20	$635.20	$635.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $123.84 / $175.34	Facility		$31.24	$123.84	$175.34
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $107.37 / $198.77 / $371.01	Facility	50	$107.37	$198.77	$371.01
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $832.00 / $1,928.00	Facility		$206.00	$832.00	$1,928.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $259.77 / $12,000.00	Facility		$259.77	$259.77	$12,000.00