Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $319.04 / $5,449.00	Facility		$124.63	$319.04	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.21 / $329.76	Professional		$121.34	$196.21	$329.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $225.34 / $521.16	Professional		$138.94	$225.34	$521.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $224.19 / $460.02	Professional		$132.26	$224.19	$460.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $212.40 / $521.00	Facility		$124.63	$212.40	$521.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.37 / $265.00 / $265.00	Professional		$255.37	$265.00	$265.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $383.06 / $383.06 / $383.06	Professional	50	$383.06	$383.06	$383.06
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 $173.70 / $223.31 / $514.39	Professional		$173.70	$223.31	$514.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $901.68	Facility		$55.00	$55.00	$901.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $957.04 / $1,789.58 / $2,357.73	Professional		$957.04	$1,789.58	$2,357.73