Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $331.47 / $424.62	Facility		$154.97	$331.47	$424.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $154.97 / $154.97	Professional		$143.94	$154.97	$154.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.11 / $359.68 / $514.22	Facility		$153.11	$359.68	$514.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $283.73 / $354.66	Professional		$120.29	$283.73	$354.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $154.97 / $205.63	Facility		$102.67	$154.97	$205.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $205.63 / $205.63	Professional		$133.66	$205.63	$205.63
United Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $205.63	Professional		$102.82	$102.82	$205.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $429.64 / $1,172.86 / $1,172.86	Facility		$429.64	$1,172.86	$1,172.86