Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.52 / $1,869.84 / $1,869.84	Professional		$1,152.52	$1,869.84	$1,869.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $3,703.13	Professional		$198.09	$1,639.62	$3,703.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $1,869.84 / $2,103.57	Facility		$730.80	$1,869.84	$2,103.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,720.00 / $1,720.00 / $1,720.00	Professional		$1,720.00	$1,720.00	$1,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $1,108.36 / $1,703.49	Professional		$767.34	$1,108.36	$1,703.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,444.94 / $12,414.27 / $12,414.27	Facility		$2,444.94	$12,414.27	$12,414.27