Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $107.78 / $107.78	Professional		$79.84	$107.78	$107.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $114.40	Facility		$100.30	$100.30	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $172.13	Professional		$85.26	$100.30	$172.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $107.78 / $151.88	Facility		$58.10	$107.78	$151.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Professional		$159.47	$159.47	$159.47
United Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $88.26 / $151.88	Professional		$61.00	$88.26	$151.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $719.88 / $719.88	Facility		$167.50	$719.88	$719.88