Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $108.82 / $5,449.00	Facility		$66.22	$108.82	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $77.12 / $115.53	Professional		$61.04	$77.12	$115.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $86.34 / $194.39	Professional		$73.26	$86.34	$194.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $94.28 / $206.21	Professional		$65.72	$94.28	$206.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $89.35 / $135.91	Facility		$66.22	$89.35	$135.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $99.00 / $99.00	Professional		$94.35	$99.00	$99.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $141.53 / $141.53 / $141.53	Professional	50	$141.53	$141.53	$141.53
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 $64.75 / $84.09 / $196.98	Professional		$64.75	$84.09	$196.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $475.08	Facility		$55.00	$55.00	$475.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $505.68 / $596.32 / $677.63	Professional		$505.68	$596.32	$677.63