Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $467.74 / $501.19	Facility		$120.23	$467.74	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $158.49	Professional		$104.71	$120.23	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $512.86	Facility		$269.15	$501.19	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $223.87	Professional		$89.13	$107.15	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $426.58	Facility		$128.82	$316.23	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $234.42	Facility		$117.49	$141.25	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $204.17	Facility		$100.00	$194.98	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $181.97	Professional		$74.13	$89.13	$181.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,479.11	Professional		$1,000.00	$1,000.00	$1,479.11