Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $189.95	Facility		$91.54	$91.54	$189.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $91.54 / $91.54	Professional		$80.09	$91.54	$91.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $212.60 / $300.69	Facility		$86.95	$212.60	$300.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $131.75 / $164.68	Professional		$66.94	$131.75	$164.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $91.54 / $114.43	Facility		$69.00	$91.54	$114.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $114.43 / $114.43	Professional		$74.38	$114.43	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $57.22 / $114.43	Professional		$48.06	$57.22	$114.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $543.54 / $543.54	Facility		$199.11	$543.54	$543.54