Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $2,141.31 / $4,902.32	Facility		$123.25	$2,141.31	$4,902.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $123.25 / $123.25	Professional		$118.90	$123.25	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $80.54	Professional		$80.54	$80.54	$80.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $120.35 / $147.90	Facility		$109.25	$120.35	$147.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $109.25 / $109.25	Professional		$109.25	$109.25	$109.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $124.70 / $210.25	Facility		$123.25	$124.70	$210.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Professional		$319.00	$319.00	$319.00