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 $223.70 / $223.70 / $343.17	Facility		$223.70	$223.70	$343.17
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 $75.00 / $190.57 / $701.30	Professional		$75.00	$190.57	$701.30
United Facility/Professional Facility Modifier Low / Median / High Price $137.86 / $190.59 / $237.09	Facility		$137.86	$190.59	$237.09
United Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $237.09 / $465.36	Professional		$169.22	$237.09	$465.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $2,613.82 / $2,613.82	Facility		$426.40	$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