Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $354.81	Professional		$257.04	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $173.78 / $741.31	Professional		$38.02	$173.78	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $257.04	Professional		$239.88	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $354.81 / $398.11	Facility		$141.25	$354.81	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $147.91 / $288.40	Facility		$18.62	$147.91	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $331.13	Professional		$147.91	$213.80	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,398.83 / $2,398.83	Facility		$363.08	$2,398.83	$2,398.83