Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $1,615.00 / $7,593.00	Facility		$136.40	$1,615.00	$7,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $136.40 / $164.99	Professional		$136.40	$136.40	$164.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $268.29 / $372.49	Professional		$182.34	$268.29	$372.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $665.74 / $665.74	Professional		$665.74	$665.74	$665.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $136.40 / $304.52	Facility		$132.40	$136.40	$304.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $132.40 / $132.40	Professional		$132.40	$132.40	$132.40
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $896.00 / $2,229.00	Facility		$206.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $195.55 / $379.00	Professional		$141.77	$195.55	$379.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $303.73 / $303.73 / $705.04	Facility		$303.73	$303.73	$705.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $1,207.20 / $1,207.20	Professional		$769.00	$1,207.20	$1,207.20