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 $76.09 / $91.54 / $97.27	Professional		$76.09	$91.54	$97.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $159.44 / $300.69	Facility		$86.95	$159.44	$300.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $114.43 / $171.65	Facility		$91.54	$114.43	$171.65
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 $57.22 / $68.66 / $117.86	Professional		$57.22	$68.66	$117.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $543.54 / $543.54	Facility		$199.11	$543.54	$543.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $572.15 / $572.15 / $858.23	Professional		$572.15	$572.15	$858.23