Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $49.71 / $140.22	Facility		$49.71	$49.71	$140.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $49.71 / $49.71	Professional		$43.50	$49.71	$49.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $115.61 / $162.80	Facility		$47.22	$115.61	$162.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $71.45 / $89.31	Professional		$49.71	$71.45	$89.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $49.71 / $62.14	Facility		$37.28	$49.71	$62.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $62.14 / $62.14	Professional		$40.39	$62.14	$62.14
United Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $73.33 / $74.56	Facility		$62.14	$73.33	$74.56
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $62.14	Professional		$31.07	$31.07	$62.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $295.17 / $295.17	Facility		$108.12	$295.17	$295.17