Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $134.90	Facility		$48.98	$48.98	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $60.26	Professional		$40.74	$48.98	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $199.53	Facility		$104.71	$138.04	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $40.74	Professional		$28.18	$28.18	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $97.72 / $162.18	Facility		$46.77	$97.72	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $107.15	Professional		$70.79	$89.13	$107.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $61.66	Facility		$32.36	$50.12	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $46.77	Professional		$40.74	$40.74	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $74.13	Facility		$30.90	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $61.66	Professional		$28.18	$30.90	$61.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12