Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $499.48 / $6,166.49	Facility		$129.63	$499.48	$6,166.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $124.37 / $249.71	Professional		$75.50	$124.37	$249.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $155.87 / $309.04	Professional		$95.63	$155.87	$309.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $162.63 / $294.99	Professional		$96.97	$162.63	$294.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $162.01 / $202.80	Facility		$81.91	$162.01	$202.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $189.76 / $189.76	Professional		$189.76	$189.76	$189.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $148.94 / $330.11	Professional		$117.92	$148.94	$330.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $411.02 / $411.02	Facility		$55.00	$411.02	$411.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,700.31 / $2,700.31 / $2,987.99	Professional		$2,700.31	$2,700.31	$2,987.99