Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.34 / $516.00 / $1,668.00	Facility		$195.34	$516.00	$1,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $195.34 / $275.00	Professional		$195.34	$195.34	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $223.70 / $707.53	Facility		$223.70	$223.70	$707.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $935.47 / $935.47	Professional		$350.00	$935.47	$935.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $190.57 / $438.31	Facility		$190.57	$190.57	$438.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $258.00 / $701.30	Professional		$75.00	$258.00	$701.30
United Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $516.61 / $969.64	Professional		$349.06	$516.61	$969.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $1,093.20 / $1,093.20	Facility		$426.40	$1,093.20	$1,093.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,679.48 / $1,679.48	Professional		$1,293.17	$1,679.48	$1,679.48