Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $131.91 / $5,449.00	Facility		$87.50	$131.91	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $87.50 / $97.05	Professional		$76.73	$87.50	$97.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $102.37 / $186.47	Professional		$90.38	$102.37	$186.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $118.36 / $218.39	Professional		$93.71	$118.36	$218.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $107.52 / $142.71	Facility		$87.50	$107.52	$142.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $107.52 / $400.00	Professional		$107.52	$107.52	$400.00
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 $73.94 / $96.14 / $238.97	Professional		$73.94	$96.14	$238.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $436.76 / $12,000.00	Facility		$436.76	$436.76	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $758.33 / $819.68	Professional		$640.40	$758.33	$819.68