Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $169.82	Facility		$39.81	$66.07	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $66.07	Professional		$33.11	$42.66	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $177.83	Facility		$85.11	$107.15	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $58.88	Professional		$22.91	$35.48	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $131.83	Facility		$33.11	$74.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $72.44	Professional		$28.18	$32.36	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $239.88	Professional		$41.69	$41.69	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $97.72	Facility		$26.92	$37.15	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $89.13	Professional		$40.74	$81.28	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $50.12 / $89.13	Facility		$26.30	$50.12	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $70.79	Professional		$25.12	$35.48	$70.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88