Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $49.20 / $102.24	Facility		$19.96	$49.20	$102.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $44.46 / $49.20	Professional		$31.53	$44.46	$49.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.01 / $143.27 / $143.27	Facility		$118.01	$143.27	$143.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $27.68 / $39.97	Professional		$20.25	$27.68	$39.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $46.74 / $161.02	Facility		$23.78	$46.74	$161.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.41 / $88.28	Professional		$22.19	$26.41	$88.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $44.79 / $67.20	Facility		$28.43	$44.79	$67.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $47.23 / $63.00	Professional		$24.00	$47.23	$63.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $25.83 / $61.50	Professional		$23.40	$25.83	$61.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $292.13 / $292.13	Facility		$98.40	$292.13	$292.13