Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.49 / $1,265.83 / $1,265.83	Professional		$887.49	$1,265.83	$1,265.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $504.00 / $2,601.56	Professional		$154.43	$504.00	$2,601.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $638.22 / $1,265.83 / $1,795.40	Facility		$638.22	$1,265.83	$1,795.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.00 / $1,380.00 / $1,380.00	Professional		$1,380.00	$1,380.00	$1,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.36 / $1,227.05 / $1,992.23	Professional		$853.36	$1,227.05	$1,992.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,752.67 / $10,183.48 / $10,183.48	Facility		$1,752.67	$10,183.48	$10,183.48