Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $141.25	Professional		$114.82	$114.82	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $141.25	Professional		$128.82	$141.25	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $79.43 / $165.96	Facility		$43.65	$79.43	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11