Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $170.51 / $339.00	Facility		$63.26	$170.51	$339.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $74.36 / $209.70 / $403.56	Facility	25	$74.36	$209.70	$403.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Facility		$13.19	$13.19	$13.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $42.00 / $79.03	Facility		$21.99	$42.00	$79.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $176.00 / $176.00	Facility		$130.78	$176.00	$176.00