Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $156.60 / $1,615.00	Facility		$97.34	$156.60	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $110.83 / $171.60	Professional		$94.50	$110.83	$171.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $196.28 / $196.28 / $363.53	Professional	50	$196.28	$196.28	$363.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $185.28 / $282.89	Professional		$111.18	$185.28	$282.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $139.37 / $310.05	Professional		$95.37	$139.37	$310.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.34 / $126.88 / $476.00	Facility		$97.34	$126.88	$476.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $141.00 / $141.00	Professional		$135.55	$141.00	$141.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $203.33 / $203.33 / $203.33	Professional	50	$203.33	$203.33	$203.33
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 $92.41 / $121.12 / $333.51	Professional		$92.41	$121.12	$333.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $691.86	Facility		$55.00	$55.00	$691.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $1,073.61 / $2,278.08	Professional		$818.01	$1,073.61	$2,278.08