Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $234.70 / $5,449.00	Facility		$142.35	$234.70	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $150.69 / $256.17	Professional		$130.38	$150.69	$256.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $200.33 / $384.38	Professional		$149.27	$200.33	$384.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $189.70 / $395.03	Professional		$139.65	$189.70	$395.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $177.94 / $456.00	Facility		$142.35	$177.94	$456.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $193.00 / $193.00	Professional		$183.62	$193.00	$193.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $275.43 / $275.43 / $275.43	Professional	50	$275.43	$275.43	$275.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $161.65 / $422.63	Professional		$124.56	$161.65	$422.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,026.06	Facility		$55.00	$55.00	$1,026.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,088.96 / $1,310.70 / $2,268.59	Professional		$1,088.96	$1,310.70	$2,268.59