Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $197.61 / $197.61	Facility		$197.61	$197.61	$197.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $197.61 / $254.86	Professional		$197.61	$197.61	$254.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $436.72 / $565.16	Professional		$266.77	$436.72	$565.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $813.86 / $813.86	Professional		$813.86	$813.86	$813.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.37 / $193.38 / $428.88	Facility		$191.37	$193.38	$428.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.38 / $193.38 / $193.38	Professional		$193.38	$193.38	$193.38
United Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $268.26 / $543.76	Professional		$204.52	$268.26	$543.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $352.13 / $371.31 / $4,042.45	Facility		$352.13	$371.31	$4,042.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,460.10 / $1,460.10	Professional		$1,308.32	$1,460.10	$1,460.10