Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $114.10 / $321.89	Facility		$114.10	$114.10	$321.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $114.10 / $121.24	Professional		$94.85	$114.10	$121.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $198.47 / $374.53	Facility		$108.38	$198.47	$374.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $142.63 / $213.95	Facility		$114.10	$142.63	$213.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $142.63	Professional		$92.71	$92.71	$142.63
United Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $171.16 / $171.16	Facility		$171.16	$171.16	$171.16
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $85.58 / $146.91	Professional		$71.31	$85.58	$146.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $713.15 / $1,069.73	Professional		$713.15	$713.15	$1,069.73