Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $903.00 / $5,449.00	Facility		$91.26	$903.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $168.53 / $283.48	Professional		$91.26	$168.53	$283.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $222.16 / $406.05	Professional		$105.46	$222.16	$406.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $184.65 / $369.66	Professional		$100.47	$184.65	$369.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $175.73 / $418.00	Facility		$91.26	$175.73	$418.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $192.00 / $294.72 / $627.00	Facility	50	$192.00	$294.72	$627.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $209.00 / $209.00	Professional		$196.48	$209.00	$209.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $185.10 / $411.96	Professional		$130.69	$185.10	$411.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $654.72	Facility		$55.00	$55.00	$654.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,471.88 / $2,086.50	Professional		$696.00	$1,471.88	$2,086.50