Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $152.03	Facility		$152.03	$152.03	$152.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $195.73	Professional		$152.03	$152.03	$195.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $326.86 / $434.81	Professional		$182.44	$326.86	$434.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $113.21 / $283.05	Facility		$82.22	$113.21	$283.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $160.60 / $160.60	Professional		$160.60	$160.60	$160.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.01 / $148.59 / $281.26	Facility		$104.01	$148.59	$281.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $148.59 / $148.59	Professional		$148.59	$148.59	$148.59
United Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $190.32 / $309.39	Professional		$77.15	$190.32	$309.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $296.60	Facility		$85.00	$85.00	$296.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,006.55 / $1,006.55 / $1,006.55	Professional		$1,006.55	$1,006.55	$1,006.55