Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $6,918.31	Facility		$512.86	$1,288.25	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,513.56	Professional		$1,122.02	$1,122.02	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $1,096.48	Facility		$323.59	$630.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,137.96 / $4,073.80	Facility		$676.08	$2,137.96	$4,073.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45