Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $20.07 / $44.90	Facility		$20.07	$20.07	$44.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $20.07 / $20.07	Professional		$15.18	$20.07	$20.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $35.17 / $65.83	Facility		$19.07	$35.17	$65.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $27.85 / $27.85	Facility		$20.07	$27.85	$27.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $13.93 / $27.85	Professional		$11.14	$13.93	$27.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $61.50 / $119.23	Facility		$43.67	$61.50	$119.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $188.25	Professional		$125.50	$125.50	$188.25