Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $481.00 / $1,668.00	Facility		$164.01	$481.00	$1,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $164.01 / $275.00	Professional		$164.01	$164.01	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $486.37 / $619.54	Professional		$333.74	$486.37	$619.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.49 / $254.26 / $254.26	Facility		$155.49	$254.26	$254.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.94 / $1,064.88 / $1,064.88	Professional		$997.94	$1,064.88	$1,064.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $207.56 / $309.57	Facility		$164.01	$207.56	$309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $293.00 / $410.84	Professional		$207.56	$293.00	$410.84
United Facility/Professional Professional Modifier Low / Median / High Price $205.89 / $291.36 / $575.27	Professional		$205.89	$291.36	$575.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $475.94 / $1,182.70 / $1,182.70	Facility		$475.94	$1,182.70	$1,182.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,189.84 / $1,908.30 / $1,908.30	Professional		$1,189.84	$1,908.30	$1,908.30