Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.82 / $174.82 / $174.82	Facility		$174.82	$174.82	$174.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $174.82 / $219.18	Professional		$169.36	$174.82	$219.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $384.60 / $505.46	Professional		$209.78	$384.60	$505.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $152.11 / $294.38	Facility		$37.28	$152.11	$294.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $155.93 / $965.75	Professional		$55.98	$155.93	$965.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $170.86 / $253.49	Facility		$119.60	$170.86	$253.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $170.86 / $643.34	Professional		$43.00	$170.86	$643.34
United Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $220.97 / $251.32	Facility		$132.69	$220.97	$251.32
United Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $219.26 / $388.32	Professional		$74.90	$219.26	$388.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $296.60 / $296.60	Facility		$85.00	$296.60	$296.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,157.43 / $1,157.43 / $1,157.43	Professional		$1,157.43	$1,157.43	$1,157.43