Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $126.88 / $126.88	Professional		$74.20	$126.88	$126.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $64.17 / $202.50	Professional		$14.75	$64.17	$202.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $126.88 / $174.43	Facility		$69.50	$126.88	$174.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $99.94 / $198.70	Professional		$62.95	$99.94	$198.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $148.82 / $851.20 / $851.20	Facility		$148.82	$851.20	$851.20