Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $1,046.40 / $1,046.40	Professional		$569.03	$1,046.40	$1,046.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $816.59 / $1,151.25	Professional		$694.10	$816.59	$1,151.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $1,046.40 / $1,255.68	Facility		$136.69	$1,046.40	$1,255.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $1,086.69 / $1,086.69	Professional		$188.00	$1,086.69	$1,086.69
United Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $574.41 / $936.20	Professional		$421.71	$574.41	$936.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,699.05 / $5,105.49 / $5,105.49	Facility		$1,699.05	$5,105.49	$5,105.49