Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $70.18	Facility		$42.28	$42.28	$70.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $29.18 / $34.93	Facility		$28.75	$29.18	$34.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $42.28 / $42.28	Facility		$39.18	$42.28	$42.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $39.18 / $39.18	Professional		$27.48	$39.18	$39.18
United Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $20.78 / $42.28	Professional		$18.46	$20.78	$42.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $200.83 / $200.83	Facility		$67.65	$200.83	$200.83