Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $144.90 / $903.00	Facility		$22.72	$144.90	$903.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $22.03 / $54.25	Professional		$10.11	$22.03	$54.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $31.68 / $63.20	Professional		$16.64	$31.68	$63.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $31.19 / $61.74	Professional		$17.14	$31.19	$61.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $27.76 / $45.27	Facility		$11.13	$27.76	$45.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $36.92 / $36.92	Professional		$36.92	$36.92	$36.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $55.38 / $55.38 / $55.38	Professional	50	$55.38	$55.38	$55.38
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $31.83 / $70.03	Professional		$24.87	$31.83	$70.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $69.06 / $69.06	Facility		$55.00	$69.06	$69.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $239.28 / $275.77	Professional		$124.50	$239.28	$275.77