Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $7,585.78	Facility		$851.14	$1,659.59	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,380.38	Professional		$977.24	$977.24	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,288.25	Facility		$588.84	$794.33	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $10,471.29	Facility		$2,187.76	$6,918.31	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32