Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $386.59 / $386.59	Professional		$231.73	$386.59	$386.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $403.00	Facility		$333.25	$333.25	$403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $581.63	Professional		$333.25	$333.25	$581.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.40 / $386.59 / $503.00	Facility		$192.40	$386.59	$503.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $431.00 / $431.00	Professional		$431.00	$431.00	$431.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $290.25 / $523.87	Professional		$192.40	$290.25	$523.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $613.35 / $2,391.90 / $2,391.90	Facility		$613.35	$2,391.90	$2,391.90