Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $5,704.97 / $9,670.39	Facility		$229.00	$5,704.97	$9,670.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $1,652.32 / $3,729.75	Professional		$691.85	$1,652.32	$3,729.75
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 $452.00 / $452.00 / $4,004.79	Professional		$452.00	$452.00	$4,004.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,061.00 / $3,061.00 / $3,061.00	Facility		$3,061.00	$3,061.00	$3,061.00
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 $3,204.81 / $10,160.00 / $10,160.00	Facility		$3,204.81	$10,160.00	$10,160.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,815.13 / $4,136.95 / $4,136.95	Professional		$2,815.13	$4,136.95	$4,136.95