Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.34 / $516.00 / $1,668.00	Facility		$195.34	$516.00	$1,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $195.34 / $275.00	Professional		$195.34	$195.34	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.70 / $421.70 / $421.70	Professional		$421.70	$421.70	$421.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.44 / $223.70 / $223.70	Facility		$209.44	$223.70	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $935.47 / $935.47	Professional		$350.00	$935.47	$935.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $190.57 / $332.08	Facility		$187.59	$190.57	$332.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $190.57 / $701.30	Professional		$96.00	$190.57	$701.30
United Facility/Professional Facility Modifier Low / Median / High Price $159.10 / $159.10 / $159.10	Facility		$159.10	$159.10	$159.10
United Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $144.46 / $280.36	Professional		$103.06	$144.46	$280.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $404.32 / $2,613.82 / $2,613.82	Facility		$404.32	$2,613.82	$2,613.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,679.48 / $1,679.48	Professional		$1,293.17	$1,679.48	$1,679.48