Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $194.98 / $208.93	Facility		$48.98	$194.98	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $60.26	Professional		$40.74	$48.98	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $194.98	Facility		$120.23	$186.21	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $56.23	Professional		$40.74	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $162.18	Facility		$42.66	$97.72	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $95.50	Professional		$50.12	$75.86	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $61.66	Facility		$33.11	$50.12	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $46.77	Professional		$40.74	$40.74	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $74.13	Facility		$30.90	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $61.66	Professional		$28.18	$30.90	$61.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12