Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,288.25 / $2,754.23	Facility		$85.11	$1,288.25	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $630.96	Professional		$87.10	$251.19	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,621.81	Facility		$1,023.29	$1,202.26	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $234.42	Facility		$74.13	$144.54	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $323.59	Professional		$81.28	$165.96	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $602.56	Facility		$87.10	$147.91	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $67.61 / $512.86	Facility		$66.07	$67.61	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,258.93	Professional		$794.33	$1,258.93	$1,258.93