Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.17 / $203.17 / $203.17	Facility		$203.17	$203.17	$203.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $203.17 / $396.88	Professional		$104.71	$203.17	$396.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.41 / $713.77 / $942.97	Professional		$348.41	$713.77	$942.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $110.42 / $1,748.47	Professional		$50.09	$110.42	$1,748.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $143.15 / $335.23	Facility		$140.91	$143.15	$335.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $143.15 / $1,165.59	Professional		$133.00	$143.15	$1,165.59
United Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $426.30 / $786.21	Professional		$262.39	$426.30	$786.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $548.29 / $548.29	Facility		$140.85	$548.29	$548.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,345.11 / $1,345.11 / $1,345.11	Professional		$1,345.11	$1,345.11	$1,345.11