Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $159.53 / $1,245.00	Facility		$82.98	$159.53	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $99.92 / $275.00	Professional		$91.12	$99.92	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $123.40 / $166.78	Facility		$108.53	$123.40	$166.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $197.70 / $363.31	Professional		$93.39	$197.70	$363.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $150.66 / $254.64	Facility		$99.92	$150.66	$254.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $141.00 / $334.29	Professional		$28.00	$141.00	$334.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $220.25 / $2,613.82 / $2,613.82	Facility		$220.25	$2,613.82	$2,613.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $661.49 / $915.00 / $915.00	Professional		$661.49	$915.00	$915.00