Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.83 / $596.55 / $596.55	Professional		$515.83	$596.55	$596.55
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 / $551.25	Professional		$170.00	$200.00	$551.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $596.55 / $715.87	Facility		$328.38	$596.55	$715.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.42 / $467.60 / $764.47	Professional		$355.42	$467.60	$764.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,290.56 / $4,259.80 / $4,259.80	Facility		$1,290.56	$4,259.80	$4,259.80