Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.79 / $154.00 / $420.48	Facility		$122.79	$154.00	$420.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $153.50 / $159.71	Professional		$76.75	$153.50	$159.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.24 / $450.90 / $450.90	Facility		$320.24	$450.90	$450.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $69.08 / $153.50	Professional		$69.08	$69.08	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $213.88 / $403.00	Facility		$104.77	$213.88	$403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $160.47 / $261.80	Professional		$46.03	$160.47	$261.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $153.50 / $159.71	Facility		$76.75	$153.50	$159.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $153.50 / $153.50	Professional		$99.78	$153.50	$153.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $153.50	Professional		$76.75	$76.75	$153.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $267.08 / $729.13 / $729.13	Facility		$267.08	$729.13	$729.13