Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $246.57 / $5,449.00	Facility		$105.95	$246.57	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $146.50 / $222.82	Professional		$95.81	$146.50	$222.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $188.16 / $407.51	Professional		$109.14	$188.16	$407.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $183.11 / $365.47	Professional		$107.23	$183.11	$365.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $164.00 / $249.47	Facility		$105.95	$164.00	$249.47
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $155.28 / $246.00 / $392.09	Facility	50	$155.28	$246.00	$392.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $204.00 / $204.00	Professional		$189.49	$204.00	$204.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $284.24 / $284.24 / $284.24	Professional	50	$284.24	$284.24	$284.24
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 $129.72 / $177.09 / $412.32	Professional		$129.72	$177.09	$412.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $760.98 / $12,000.00	Facility		$760.98	$760.98	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $807.04 / $1,265.11 / $1,462.28	Professional		$807.04	$1,265.11	$1,462.28