Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.81 / $373.81 / $419.98	Facility		$373.81	$373.81	$419.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.81 / $419.98 / $440.98	Professional		$373.81	$419.98	$440.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $518.79	Professional		$440.98	$440.98	$518.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $446.69	Facility		$256.50	$256.50	$446.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $256.50 / $256.50	Professional		$256.50	$256.50	$256.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $492.86 / $1,644.30 / $1,644.30	Facility		$492.86	$1,644.30	$1,644.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,877.54 / $1,877.54 / $2,223.41	Professional		$1,877.54	$1,877.54	$2,223.41