Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $380.19	Facility		$138.04	$138.04	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $165.96	Professional		$114.82	$138.04	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $549.54	Facility		$389.05	$389.05	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $173.78	Professional		$112.20	$154.88	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $457.09	Facility		$131.83	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $302.00	Professional		$199.53	$251.19	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $173.78	Facility		$89.13	$104.71	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $128.82	Professional		$112.20	$112.20	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $208.93	Facility		$87.10	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $173.78	Professional		$77.62	$87.10	$173.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83