Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $7,943.28	Facility		$741.31	$3,090.30	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,467.37 / $6,025.60	Facility		$489.78	$3,467.37	$6,025.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	22	$933.25	$933.25	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $891.25	Facility		$426.58	$537.03	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,466.84 / $9,549.93	Facility		$912.01	$4,466.84	$9,549.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $19,952.62 / $19,952.62	Facility		$56.23	$19,952.62	$19,952.62