Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $292.95 / $292.95	Professional		$210.15	$292.95	$292.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $240.34 / $604.69	Professional		$36.46	$240.34	$604.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $292.95 / $364.50	Facility		$139.41	$292.95	$364.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $288.00	Professional		$288.00	$288.00	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $212.10 / $346.80	Professional		$139.41	$212.10	$346.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $383.19 / $2,287.65 / $2,287.65	Facility		$383.19	$2,287.65	$2,287.65