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 / $50.12	Professional		$41.69	$41.69	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $134.90	Facility		$87.10	$93.33	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Professional		$38.02	$38.02	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $91.20	Facility		$28.84	$42.66	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Facility		$42.66	$42.66	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $31.62	Professional		$27.54	$27.54	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.66 / $50.12	Facility		$21.38	$42.66	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $44.67	Professional		$18.62	$20.89	$44.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53