Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.87 / $734.87 / $794.83	Facility		$734.87	$734.87	$794.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.87 / $734.87 / $776.12	Professional		$734.87	$734.87	$776.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $935.09	Professional		$794.83	$794.83	$935.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.87 / $734.87 / $778.96	Facility		$734.87	$734.87	$778.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $821.32 / $821.32 / $821.32	Professional		$821.32	$821.32	$821.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $888.34 / $888.34 / $3,853.40	Facility		$888.34	$888.34	$3,853.40