Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $64.30 / $209.53	Facility		$42.00	$64.30	$209.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $64.30 / $64.30	Professional		$23.16	$64.30	$64.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.48 / $335.03 / $335.03	Facility		$169.48	$335.03	$335.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $56.26 / $104.71	Professional		$36.17	$56.26	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $82.88 / $210.84	Facility		$54.18	$82.88	$210.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $58.00 / $115.95	Professional		$49.38	$58.00	$115.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $60.28 / $157.12	Facility		$42.60	$60.28	$157.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $115.08 / $216.00	Professional		$109.44	$115.08	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $56.12 / $109.60	Professional		$36.17	$56.12	$109.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $381.76 / $381.76	Facility		$168.00	$381.76	$381.76