Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.88 / $294.14 / $5,449.00	Facility		$125.88	$294.14	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $170.40 / $341.68	Professional		$116.97	$170.40	$341.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $230.85 / $462.30	Professional		$133.41	$230.85	$462.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $237.84 / $418.40	Professional		$146.99	$237.84	$418.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.88 / $215.48 / $320.64	Facility		$125.88	$215.48	$320.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.54 / $244.54 / $244.54	Professional		$244.54	$244.54	$244.54
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 $165.92 / $203.16 / $469.39	Professional		$165.92	$203.16	$469.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $650.61 / $650.61	Facility		$55.00	$650.61	$650.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,772.20 / $2,772.20	Professional		$2,473.00	$2,772.20	$2,772.20