Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $48.86 / $48.86	Facility		$48.86	$48.86	$48.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $48.86 / $61.72	Professional		$48.86	$48.86	$61.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $68.44	Professional		$49.22	$49.22	$68.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $48.86 / $58.63	Facility		$45.57	$48.86	$58.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $53.38 / $53.38	Professional		$53.38	$53.38	$53.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $21.41	Professional		$6.49	$16.22	$21.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $328.37 / $328.37	Facility		$115.02	$328.37	$328.37