Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $263.03 / $281.84	Facility		$67.61	$263.03	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $66.07 / $81.28	Professional		$7.08	$66.07	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $141.25 / $269.15	Facility		$40.74	$141.25	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $75.86	Professional		$54.95	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $218.78	Facility		$57.54	$131.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $128.82	Professional		$95.50	$102.33	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $83.18	Facility		$43.65	$67.61	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Professional		$54.95	$54.95	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $100.00	Facility		$41.69	$83.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $83.18	Professional		$38.02	$41.69	$83.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11