Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $632.00 / $834.55	Facility		$632.00	$632.00	$834.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $266.50 / $266.50	Professional		$266.50	$266.50	$266.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.29 / $706.52 / $999.05	Facility		$289.29	$706.52	$999.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $304.58 / $380.72	Facility		$228.43	$304.58	$380.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $380.72 / $380.72	Professional		$247.47	$380.72	$380.72
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $190.36 / $380.72	Professional		$159.90	$190.36	$380.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $662.45 / $1,808.42 / $1,808.42	Facility		$662.45	$1,808.42	$1,808.42