Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $141.25	Facility		$41.69	$131.83	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $162.18	Facility		$87.10	$109.65	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $51.29	Professional		$46.77	$46.77	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $109.65	Facility		$28.84	$42.66	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $74.13	Professional		$41.69	$52.48	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $50.12	Facility		$41.69	$42.66	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $38.90	Professional		$27.54	$27.54	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $51.29	Facility		$25.12	$50.12	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $51.29	Professional		$18.62	$21.38	$51.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47