Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.18 / $210.18 / $210.18	Facility		$210.18	$210.18	$210.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $210.18 / $223.31	Professional		$174.71	$210.18	$223.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.63 / $217.05 / $547.24	Facility		$199.63	$217.05	$547.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.18 / $262.72 / $312.64	Facility		$210.18	$262.72	$312.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $170.77 / $262.72	Professional		$170.77	$170.77	$262.72
United Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $157.63 / $270.60	Professional		$131.36	$157.63	$270.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $457.13 / $1,247.92 / $1,247.92	Facility		$457.13	$1,247.92	$1,247.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,308.34 / $1,970.40	Professional		$1,308.34	$1,308.34	$1,970.40