Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $407.38	Professional		$288.40	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Facility		$354.81	$354.81	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $776.25	Professional		$302.00	$354.81	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $398.11	Professional		$371.54	$398.11	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $407.38 / $691.83	Facility		$229.09	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $229.09 / $389.05	Facility		$28.18	$229.09	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $512.86	Professional		$229.09	$331.13	$512.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,570.40 / $2,570.40	Facility		$851.14	$2,570.40	$2,570.40