Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $182.24 / $182.24	Professional		$175.81	$182.24	$182.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $203.68 / $218.69	Facility		$182.24	$203.68	$218.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $203.68 / $203.68	Professional		$203.68	$203.68	$203.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $321.60 / $428.80	Facility		$203.68	$321.60	$428.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $814.72 / $814.72 / $964.80	Professional		$814.72	$814.72	$964.80