Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $127.96 / $127.96	Facility		$127.96	$127.96	$127.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $127.96 / $127.96	Professional		$111.97	$127.96	$127.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.54 / $332.93 / $419.90	Facility		$121.54	$332.93	$419.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $108.77 / $159.94	Facility		$83.17	$108.77	$159.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $159.94 / $159.94	Professional		$103.97	$159.94	$159.94
United Facility/Professional Facility Modifier Low / Median / High Price $95.97 / $159.94 / $159.94	Facility		$95.97	$159.94	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $79.98 / $159.94	Professional		$71.98	$79.98	$159.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $278.31 / $759.76 / $759.76	Facility		$278.31	$759.76	$759.76