Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $6,918.31	Facility		$707.95	$1,659.59	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Professional		$1,148.15	$1,148.15	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,258.93	Facility		$524.81	$776.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $10,471.29	Facility		$1,659.59	$6,918.31	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45