Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $153.30 / $153.30	Professional		$104.98	$153.30	$153.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $134.41 / $134.41	Facility		$117.00	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $317.33	Professional		$114.26	$134.41	$317.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $153.30 / $183.96	Facility		$62.91	$153.30	$183.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $145.80	Professional		$141.00	$141.00	$145.80
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $103.90 / $171.29	Professional		$64.34	$103.90	$171.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $200.63 / $1,039.49 / $1,039.49	Facility		$200.63	$1,039.49	$1,039.49