Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.28 / $220.28 / $603.57	Facility		$220.28	$220.28	$603.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $220.28 / $220.28	Professional		$220.28	$220.28	$220.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.23 / $383.45 / $723.27	Facility		$209.23	$383.45	$723.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.28 / $275.35 / $413.03	Facility		$220.28	$275.35	$413.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $178.98 / $275.35	Professional		$178.98	$178.98	$275.35
United Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $165.21 / $316.64	Professional		$137.68	$165.21	$316.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $1,307.91 / $1,307.91	Facility		$479.11	$1,307.91	$1,307.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,371.24 / $1,371.24 / $2,065.13	Professional		$1,371.24	$1,371.24	$2,065.13