Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $449.91 / $578.46	Facility		$258.37	$449.91	$578.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.77 / $258.37 / $305.02	Professional		$214.77	$258.37	$305.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $449.44 / $847.82	Facility		$245.40	$449.44	$847.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $358.85 / $538.28	Facility		$258.37	$358.85	$538.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $233.25 / $358.85	Professional		$233.25	$233.25	$358.85
United Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $387.55 / $387.55	Facility		$387.55	$387.55	$387.55
United Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $193.78 / $358.85	Professional		$150.72	$193.78	$358.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $561.95 / $1,534.06 / $1,534.06	Facility		$561.95	$1,534.06	$1,534.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,614.80 / $1,614.80 / $2,422.19	Professional		$1,614.80	$1,614.80	$2,422.19