Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $179.17 / $7,278.00	Facility		$105.93	$179.17	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $116.85 / $170.89	Professional		$103.14	$116.85	$170.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $158.85 / $294.52	Professional		$113.17	$158.85	$294.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $143.55 / $324.37	Professional		$102.74	$143.55	$324.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $132.07 / $431.00	Facility		$105.93	$132.07	$431.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $147.00 / $147.00	Professional		$140.10	$147.00	$147.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $210.15 / $210.15 / $210.15	Professional	50	$210.15	$210.15	$210.15
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 $95.34 / $123.22 / $289.14	Professional		$95.34	$123.22	$289.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $752.34	Facility		$55.00	$55.00	$752.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $1,001.10 / $2,058.05	Professional		$799.92	$1,001.10	$2,058.05