Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $150.41 / $5,449.00	Facility		$12.02	$150.41	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.05 / $71.73	Professional		$12.02	$24.05	$71.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $45.54 / $87.66	Professional		$28.41	$45.54	$87.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $42.17 / $68.66	Professional		$23.24	$42.17	$68.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $31.46 / $58.24	Facility		$13.22	$31.46	$58.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $53.72 / $53.72	Professional		$53.72	$53.72	$53.72
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 $27.76 / $35.69 / $74.88	Professional		$27.76	$35.69	$74.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $80.51 / $80.51	Facility		$55.00	$80.51	$80.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $238.08 / $271.50	Professional		$163.00	$238.08	$271.50