Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $332.00	Facility		$160.00	$160.00	$332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $160.00 / $160.00	Professional		$133.00	$160.00	$160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $278.43 / $524.88	Facility		$151.97	$278.43	$524.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $200.00 / $300.00	Facility		$160.00	$200.00	$300.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $200.00	Professional		$130.00	$130.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.00 / $206.00	Professional		$100.00	$120.00	$206.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $950.00 / $950.00	Facility		$348.00	$950.00	$950.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $996.00 / $1,500.00	Professional		$996.00	$996.00	$1,500.00