Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $275.25 / $7,968.00	Facility		$102.81	$275.25	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $149.75 / $204.72	Professional		$97.49	$149.75	$204.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $195.10 / $364.14	Professional		$112.96	$195.10	$364.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $193.63 / $358.60	Professional		$124.85	$193.63	$358.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $169.61 / $273.70	Facility		$102.81	$169.61	$273.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.99 / $220.99 / $606.00	Professional		$220.99	$220.99	$606.00
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 $147.02 / $178.86 / $388.98	Professional		$147.02	$178.86	$388.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $519.32 / $519.32 / $26,542.00	Facility		$519.32	$519.32	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,925.20 / $1,925.20	Professional		$1,775.00	$1,925.20	$1,925.20