Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $104.71	Facility		$83.18	$83.18	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $46.77	Professional		$37.15	$37.15	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Professional		$14.79	$14.79	$19.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.42 / $50.12	Facility		$16.22	$20.42	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20