Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $275.85 / $358.54	Facility		$170.20	$275.85	$358.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $34.03 / $50.63	Professional		$12.60	$34.03	$50.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $34.49 / $65.11	Facility		$24.14	$34.49	$65.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $12.62	Professional		$12.62	$12.62	$12.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Facility		$67.00	$67.00	$67.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00