Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $20.39 / $4,633.13	Facility		$20.39	$20.39	$4,633.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $24.05	Professional		$20.39	$20.39	$24.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Facility		$24.63	$24.63	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $28.98	Professional		$24.63	$24.63	$28.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $20.39 / $21.61	Facility		$20.39	$20.39	$21.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $125.25	Facility		$80.00	$80.00	$125.25