Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Facility		$79.89	$79.89	$79.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $99.50	Professional		$79.89	$79.89	$99.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $130.44 / $266.26	Professional		$85.48	$130.44	$266.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $438.09 / $438.09	Professional		$438.09	$438.09	$438.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $87.92 / $133.97	Facility		$79.89	$87.92	$133.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $120.00 / $308.16	Professional		$87.92	$120.00	$308.16
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $116.67 / $214.63	Professional		$82.60	$116.67	$214.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $486.73 / $486.73	Facility		$205.47	$486.73	$486.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $784.73 / $784.73	Professional		$522.04	$784.73	$784.73