Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $253.11 / $5,449.00	Facility		$106.40	$253.11	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $139.88 / $211.09	Professional		$98.69	$139.88	$211.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $207.54 / $432.31	Professional		$112.91	$207.54	$432.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $208.39 / $369.05	Professional		$124.33	$208.39	$369.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $189.26 / $286.05	Facility		$106.40	$189.26	$286.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $213.21 / $213.21	Professional		$213.21	$213.21	$213.21
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 $144.87 / $181.21 / $448.39	Professional		$144.87	$181.21	$448.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $571.04 / $571.04	Facility		$55.00	$571.04	$571.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,433.60 / $1,695.08	Professional		$1,236.00	$1,433.60	$1,695.08