Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $68.62 / $153.63	Facility		$68.62	$68.62	$153.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $68.62 / $68.62	Professional		$66.70	$68.62	$68.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.79 / $159.29 / $238.57	Facility		$67.79	$159.29	$238.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $131.75 / $3,648.04	Professional		$55.75	$131.75	$3,648.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $68.62 / $95.30	Facility		$42.89	$68.62	$95.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $95.30 / $95.30	Professional		$61.95	$95.30	$95.30
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $47.65 / $95.30	Professional		$44.60	$47.65	$95.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $543.54 / $543.54	Facility		$199.11	$543.54	$543.54