Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $184.96 / $5,449.00	Facility		$86.25	$184.96	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $114.83 / $191.30	Professional		$86.25	$114.83	$191.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $181.00 / $338.49	Professional		$125.78	$181.00	$338.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $152.05 / $296.20	Professional		$94.83	$152.05	$296.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $142.38 / $223.00	Facility		$86.25	$142.38	$223.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $177.45	Professional		$147.00	$147.00	$177.45
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $266.18 / $266.18 / $266.18	Professional	50	$266.18	$266.18	$266.18
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 $110.11 / $140.76 / $287.87	Professional		$110.11	$140.76	$287.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $606.72 / $606.72 / $12,000.00	Facility		$606.72	$606.72	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $978.75 / $987.83	Professional		$648.40	$978.75	$987.83