Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.61 / $1,603.92 / $1,603.92	Professional		$645.61	$1,603.92	$1,603.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.51 / $1,082.51 / $1,082.51	Facility		$1,082.51	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $1,082.51 / $2,655.00	Professional		$169.91	$1,082.51	$2,655.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $1,603.92 / $1,804.41	Facility		$626.80	$1,603.92	$1,804.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $1,475.00 / $1,475.00	Professional		$1,475.00	$1,475.00	$1,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.16 / $923.96 / $1,474.86	Professional		$658.16	$923.96	$1,474.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,097.30 / $10,647.60 / $10,647.60	Facility		$2,097.30	$10,647.60	$10,647.60