Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.03 / $650.38 / $650.38	Professional		$483.03	$650.38	$650.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $1,046.63	Professional		$269.64	$369.39	$1,046.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $610.52 / $650.38 / $780.46	Facility		$610.52	$650.38	$780.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $802.34 / $802.34 / $802.34	Professional		$802.34	$802.34	$802.34
United Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $487.30 / $810.36	Professional		$306.76	$487.30	$810.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,343.22 / $4,343.22	Facility		$100.00	$4,343.22	$4,343.22