Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $266.79 / $326.52	Facility		$119.17	$266.79	$326.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $119.17 / $140.69	Professional		$99.06	$119.17	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $207.14 / $413.80	Facility		$117.73	$207.14	$413.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $165.52 / $248.28	Facility		$119.17	$165.52	$248.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $107.59 / $165.52	Professional		$107.59	$107.59	$165.52
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $89.38 / $165.52	Professional		$74.48	$89.38	$165.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $345.81 / $944.02 / $944.02	Facility		$345.81	$944.02	$944.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $989.73 / $989.73 / $1,490.55	Professional		$989.73	$989.73	$1,490.55