Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $954.99	Facility		$141.25	$251.19	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $323.59	Professional		$95.50	$229.09	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $645.65	Facility		$316.23	$380.19	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $199.53	Professional		$117.49	$128.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $234.42 / $741.31	Facility		$64.57	$234.42	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $407.38	Professional		$54.95	$67.61	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $186.21	Professional		$83.18	$83.18	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $281.84	Facility		$141.25	$208.93	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $199.53	Professional		$141.25	$181.97	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $169.82 / $338.84	Facility		$74.13	$169.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $223.87	Professional		$69.18	$120.23	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96