Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $147.68 / $147.68	Professional		$86.42	$147.68	$147.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $112.73	Facility		$112.73	$112.73	$112.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $112.73 / $221.25	Professional		$16.55	$112.73	$221.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $147.68 / $177.22	Facility		$70.06	$147.68	$177.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $100.74 / $158.58	Professional		$70.20	$100.74	$158.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $990.66 / $990.66	Facility		$174.12	$990.66	$990.66