Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $1,072.95 / $5,449.00	Facility		$94.73	$1,072.95	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $107.91 / $200.83	Professional		$78.30	$107.91	$200.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $120.32 / $224.53	Professional		$78.78	$120.32	$224.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $127.86 / $265.66	Professional		$85.79	$127.86	$265.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $117.91 / $165.08	Facility		$94.73	$117.91	$165.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $117.91 / $117.91	Professional		$117.91	$117.91	$117.91
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $833.00 / $1,928.00	Facility		$361.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $120.41 / $265.85	Professional		$89.18	$120.41	$265.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $461.04 / $461.04	Facility		$55.00	$461.04	$461.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $815.03 / $1,024.34	Professional		$686.24	$815.03	$1,024.34