Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.98 / $1,888.00 / $1,888.00	Professional		$1,133.98	$1,888.00	$1,888.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $3,904.69	Professional		$200.01	$1,208.78	$3,904.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $1,888.00 / $2,184.84	Facility		$737.82	$1,888.00	$2,184.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $1,736.00 / $1,736.00	Professional		$1,736.00	$1,736.00	$1,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.72 / $1,060.92 / $2,109.40	Professional		$774.72	$1,060.92	$2,109.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,468.44 / $12,533.54 / $12,533.54	Facility		$2,468.44	$12,533.54	$12,533.54