Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,914.35 / $3,194.00 / $3,194.00	Professional		$1,914.35	$3,194.00	$3,194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $6,539.06	Professional		$1,870.00	$2,200.00	$6,539.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,627.87 / $3,194.00 / $4,318.67	Facility		$1,627.87	$3,194.00	$4,318.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,702.00 / $3,702.00 / $3,702.00	Professional		$3,702.00	$3,702.00	$3,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,627.87 / $2,372.46 / $4,113.02	Professional		$1,627.87	$2,372.46	$4,113.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,471.14 / $25,593.57 / $25,593.57	Facility		$4,471.14	$25,593.57	$25,593.57