Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $86.62 / $8,383.81	Facility		$15.36	$86.62	$8,383.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $55.38 / $65.06	Professional		$30.10	$55.38	$65.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $108.10 / $175.95	Facility		$53.70	$108.10	$175.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $114.53 / $203.74	Professional		$55.45	$114.53	$203.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $90.51 / $138.78	Facility		$69.04	$90.51	$138.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $117.00 / $203.61	Professional		$45.00	$117.00	$203.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $1,977.00 / $1,977.00	Professional		$1,977.00	$1,977.00	$1,977.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $856.54 / $856.54	Facility		$412.25	$856.54	$856.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,030.64 / $1,322.78 / $1,322.78	Professional		$1,030.64	$1,322.78	$1,322.78