Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $97.72	Professional		$69.18	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $147.91	Professional		$69.18	$81.28	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Professional		$97.72	$104.71	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $177.83	Facility		$60.26	$97.72	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $56.23 / $89.13	Facility		$6.76	$56.23	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $134.90	Professional		$53.70	$81.28	$134.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $575.44 / $575.44	Facility		$199.53	$575.44	$575.44