Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $28.07 / $79.19	Facility		$28.07	$28.07	$79.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $28.07 / $29.83	Professional		$23.33	$28.07	$29.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $48.65 / $92.52	Facility		$26.66	$48.65	$92.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $35.09 / $52.64	Facility		$28.07	$35.09	$52.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $35.09	Professional		$22.81	$22.81	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $21.05 / $38.60	Professional		$17.55	$21.05	$38.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $166.68 / $166.68	Facility		$61.06	$166.68	$166.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18