Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $670.46 / $670.46	Facility		$104.69	$670.46	$670.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $104.69 / $104.69	Professional		$102.23	$104.69	$104.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $104.69 / $125.63	Facility		$79.56	$104.69	$125.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $79.56	Professional		$79.56	$79.56	$79.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $105.93 / $178.60	Facility		$104.69	$105.93	$178.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97