Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $41.50	Facility		$20.00	$20.00	$41.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $20.00 / $21.25	Professional		$16.63	$20.00	$21.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $34.68 / $65.83	Facility		$19.00	$34.68	$65.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $25.00 / $37.50	Facility		$20.00	$25.00	$37.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $25.00 / $25.00	Professional		$16.25	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $15.00 / $25.75	Professional		$12.50	$15.00	$25.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $118.75 / $118.75	Facility		$43.50	$118.75	$118.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $187.50	Professional		$125.00	$125.00	$187.50