Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $103.85 / $103.85	Professional		$62.25	$103.85	$103.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $98.80	Facility		$94.65	$94.65	$98.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $94.65 / $165.75	Professional		$82.26	$94.65	$165.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $103.85 / $144.83	Facility		$55.40	$103.85	$144.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $80.02 / $137.93	Professional		$55.40	$80.02	$137.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $679.35 / $679.35	Facility		$152.43	$679.35	$679.35