Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $416.87 / $602.56	Professional		$41.69	$416.87	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $107.15	Professional		$52.48	$81.28	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $524.81	Professional		$107.15	$128.82	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $602.56 / $660.69	Facility		$52.48	$602.56	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $89.13	Professional		$29.51	$45.71	$89.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45