Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $197.54 / $557.24	Facility		$197.54	$197.54	$557.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $197.54 / $197.54	Professional		$172.84	$197.54	$197.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $458.60 / $648.54	Facility		$187.62	$458.60	$648.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $283.73 / $354.66	Professional		$197.54	$283.73	$354.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $197.54 / $246.92	Facility		$148.15	$197.54	$246.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $246.92 / $246.92	Professional		$160.50	$246.92	$246.92
United Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $291.37 / $296.30	Facility		$148.15	$291.37	$296.30
United Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $123.46 / $246.92	Professional		$110.25	$123.46	$246.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $429.64 / $1,172.86 / $1,172.86	Facility		$429.64	$1,172.86	$1,172.86