Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $174.86 / $1,615.00	Facility		$109.63	$174.86	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $128.19 / $171.90	Professional		$99.66	$128.19	$171.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $166.35 / $367.89	Professional		$107.63	$166.35	$367.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $185.24 / $331.99	Professional		$124.10	$185.24	$331.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $172.05 / $246.76	Facility		$109.63	$172.05	$246.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.12 / $195.12 / $195.12	Professional		$195.12	$195.12	$195.12
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $155.05 / $341.11	Professional		$131.08	$155.05	$341.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $548.72 / $548.72	Facility		$55.00	$548.72	$548.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $802.96 / $1,160.80 / $1,372.65	Professional		$802.96	$1,160.80	$1,372.65