Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $99.86 / $835.64	Facility		$99.86	$99.86	$835.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $499.80 / $503.40	Professional		$10.07	$499.80	$503.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.51 / $934.53 / $1,321.99	Facility		$382.51	$934.53	$1,321.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $525.00 / $656.25	Professional		$402.72	$525.00	$656.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.80 / $402.72 / $503.40	Facility		$266.80	$402.72	$503.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $503.40 / $503.40	Professional		$151.71	$503.40	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $251.70 / $503.40	Professional		$251.70	$251.70	$503.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $979.90 / $2,391.15 / $2,391.15	Facility		$979.90	$2,391.15	$2,391.15