Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $114.82	Facility		$41.69	$41.69	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $51.29	Professional		$34.67	$41.69	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $165.96	Facility		$89.13	$117.49	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $52.48	Professional		$33.88	$47.86	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $138.04	Facility		$39.81	$83.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $81.28	Professional		$60.26	$64.57	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $42.66 / $52.48	Facility		$27.54	$42.66	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $63.10	Facility		$26.30	$52.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $52.48	Professional		$23.99	$26.30	$52.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19