Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $36.10	Facility		$12.80	$12.80	$36.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $12.80 / $12.80	Professional		$11.20	$12.80	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $29.55 / $41.81	Facility		$12.16	$29.55	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $18.17 / $22.72	Professional		$12.80	$18.17	$22.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $12.80 / $16.00	Facility		$9.60	$12.80	$16.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $16.00 / $16.00	Professional		$10.40	$16.00	$16.00
United Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $18.88 / $19.20	Facility		$16.00	$18.88	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $8.00 / $16.00	Professional		$7.20	$8.00	$16.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $76.00 / $76.00	Facility		$39.20	$76.00	$76.00