Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $510.49 / $510.49	Professional		$441.41	$510.49	$510.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $686.25	Professional		$170.00	$200.00	$686.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $510.49 / $612.59	Facility		$281.01	$510.49	$612.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.35 / $400.14 / $661.26	Professional		$304.35	$400.14	$661.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,104.38 / $3,645.20 / $3,645.20	Facility		$1,104.38	$3,645.20	$3,645.20