Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $51.35 / $106.56	Facility		$51.35	$51.35	$106.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $51.35 / $51.35	Professional		$44.93	$51.35	$51.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $118.82 / $168.14	Facility		$48.77	$118.82	$168.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $73.51 / $91.89	Professional		$73.51	$73.51	$91.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $51.35 / $64.19	Facility		$33.36	$51.35	$64.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $64.19 / $64.19	Professional		$41.72	$64.19	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $32.10 / $64.19	Professional		$26.96	$32.10	$64.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $304.89 / $304.89	Facility		$111.69	$304.89	$304.89