Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $477.35 / $477.35	Professional		$412.76	$477.35	$477.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $435.94	Professional		$108.80	$128.00	$435.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $477.35 / $572.82	Facility		$262.77	$477.35	$572.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $374.17 / $618.33	Professional		$304.58	$374.17	$618.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,032.69 / $3,408.55 / $3,408.55	Facility		$1,032.69	$3,408.55	$3,408.55