Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $79.69 / $107.38	Facility		$79.69	$79.69	$107.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $79.69 / $93.37	Professional		$77.81	$79.69	$93.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $93.75	Professional		$79.50	$79.50	$93.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $84.47 / $103.13	Facility		$79.69	$84.47	$103.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $117.90	Professional		$90.69	$90.69	$117.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $141.37 / $403.61	Facility		$141.37	$141.37	$403.61