Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $328.55 / $5,449.00	Facility		$93.21	$328.55	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $311.10	Professional		$85.67	$179.61	$311.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $225.51 / $534.40	Professional		$102.75	$225.51	$534.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $222.00 / $467.36	Professional		$95.30	$222.00	$467.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $237.41 / $403.00	Facility		$93.21	$237.41	$403.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $274.00 / $274.00	Professional		$254.55	$274.00	$274.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,097.00	Facility		$1,258.00	$3,733.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $250.95 / $647.75	Professional		$183.06	$250.95	$647.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $669.36	Facility		$55.00	$55.00	$669.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $869.29 / $1,969.05 / $2,003.03	Professional		$869.29	$1,969.05	$2,003.03