Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $524.81 / $10,000.00	Facility		$128.82	$524.81	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $316.23	Facility		$77.62	$117.49	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $724.44 / $1,949.84	Facility		$173.78	$724.44	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $2,137.96	Facility		$56.23	$2,089.30	$2,137.96