Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $1,067.20 / $1,067.20	Professional		$747.76	$1,067.20	$1,067.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $642.26	Facility		$642.26	$642.26	$642.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $2,193.75	Professional		$545.91	$642.26	$2,193.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $539.09 / $1,067.20 / $1,342.27	Facility		$539.09	$1,067.20	$1,342.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,409.38 / $1,409.38 / $1,409.38	Professional		$1,409.38	$1,409.38	$1,409.38
United Facility/Professional Professional Modifier Low / Median / High Price $539.09 / $789.84 / $1,467.80	Professional		$539.09	$789.84	$1,467.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,480.34 / $8,578.26 / $8,578.26	Facility		$1,480.34	$8,578.26	$8,578.26