Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $1,615.00 / $21,951.00	Facility		$688.00	$1,615.00	$21,951.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $688.00	Professional		$688.00	$688.00	$688.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,023.00 / $24,040.00 / $31,898.00	Facility		$16,023.00	$24,040.00	$31,898.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $729.28 / $1,169.59	Facility		$688.00	$729.28	$1,169.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,170.00 / $33,236.00	Facility		$1,172.00	$4,170.00	$33,236.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00