Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $138.41 / $138.41	Facility		$138.41	$138.41	$138.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $138.41 / $138.41	Professional		$121.12	$138.41	$138.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $360.56 / $454.60	Facility		$131.47	$360.56	$454.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $248.83 / $296.45	Professional		$199.07	$248.83	$296.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $117.66 / $173.03	Facility		$89.98	$117.66	$173.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $173.03 / $173.03	Professional		$112.47	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $86.52 / $173.03	Professional		$72.67	$86.52	$173.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $301.07 / $821.89 / $821.89	Facility		$301.07	$821.89	$821.89