Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $110.45 / $1,615.00	Facility		$71.18	$110.45	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $82.71 / $111.05	Professional		$62.55	$82.71	$111.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $114.51 / $216.49	Professional		$66.42	$114.51	$216.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $120.00 / $218.69	Professional		$78.77	$120.00	$218.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $116.09 / $164.95	Facility		$71.18	$116.09	$164.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $124.63 / $124.63	Professional		$124.63	$124.63	$124.63
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 $84.82 / $103.68 / $257.62	Professional		$84.82	$103.68	$257.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $355.87 / $355.87	Facility		$55.00	$355.87	$355.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $787.60 / $929.25	Professional		$594.00	$787.60	$929.25