Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $109.65 / $117.49	Facility		$28.18	$109.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $34.67	Professional		$22.91	$28.18	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $109.65	Facility		$67.61	$107.15	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $81.28	Professional		$26.30	$31.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $93.33	Facility		$23.99	$54.95	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $48.98	Facility		$25.12	$31.62	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $42.66	Facility		$20.89	$41.69	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $38.90	Professional		$14.79	$20.89	$38.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $263.03	Professional		$173.78	$173.78	$263.03