Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $177.26 / $177.26	Professional		$171.00	$177.26	$177.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $198.11 / $212.71	Facility		$177.26	$198.11	$212.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $198.11 / $198.11	Professional		$198.11	$198.11	$198.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $312.81 / $417.08	Facility		$198.11	$312.81	$417.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $792.45 / $938.43	Professional		$792.45	$792.45	$938.43