Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $630.96 / $660.69	Facility		$158.49	$630.96	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $194.98	Professional		$128.82	$154.88	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $446.68 / $630.96	Facility		$338.84	$446.68	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $588.84	Professional		$141.25	$181.97	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $316.23 / $524.81	Facility		$138.04	$316.23	$524.81
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 $128.82 / $181.97 / $281.84	Facility		$128.82	$181.97	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $234.42 / $245.47	Facility		$120.23	$234.42	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $218.78	Professional		$83.18	$120.23	$218.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,513.56	Professional		$1,000.00	$1,000.00	$1,513.56