Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $42.17 / $87.50	Facility		$42.17	$42.17	$87.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $42.17 / $42.17	Professional		$36.90	$42.17	$42.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $68.52 / $138.78	Facility		$40.04	$68.52	$138.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $75.89	Professional		$60.71	$60.71	$75.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $42.17 / $52.71	Facility		$27.41	$42.17	$52.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $52.71 / $52.71	Professional		$34.26	$52.71	$52.71
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $26.36 / $52.71	Professional		$23.72	$26.36	$52.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $250.37 / $250.37	Facility		$91.72	$250.37	$250.37