Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $1,089.04 / $1,089.04	Professional		$629.89	$1,089.04	$1,089.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $2,198.44	Professional		$398.65	$469.00	$2,198.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $1,089.04 / $1,192.78	Facility		$117.00	$1,089.04	$1,192.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,126.00	Professional		$1,126.00	$1,126.00	$1,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.14 / $666.13 / $1,075.28	Professional		$494.14	$666.13	$1,075.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,613.50 / $8,191.19 / $8,191.19	Facility		$1,613.50	$8,191.19	$8,191.19