Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $6,735.00 / $11,155.00	Facility		$1,338.00	$6,735.00	$11,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $111.18 / $251.20	Professional		$77.25	$111.18	$251.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $643.63 / $643.63	Professional		$643.63	$643.63	$643.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $850.00	Facility		$850.00	$850.00	$850.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,160.00 / $10,160.00 / $10,160.00	Facility		$10,160.00	$10,160.00	$10,160.00