Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Professional		$1,663.50	$1,663.50	$1,663.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,595.57 / $3,915.00 / $4,893.75	Professional		$3,595.57	$3,915.00	$4,893.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,996.20	Facility		$1,663.50	$1,663.50	$1,996.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,109.80 / $4,109.80 / $4,109.80	Professional		$4,109.80	$4,109.80	$4,109.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.00 / $1,565.64 / $3,098.13	Professional		$1,109.00	$1,565.64	$3,098.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00