Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $457.09	Facility		$77.62	$134.90	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $104.71	Professional		$61.66	$77.62	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $239.88	Facility		$165.96	$199.53	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $63.10	Professional		$43.65	$58.88	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $144.54 / $257.04	Facility		$41.69	$144.54	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $141.25	Professional		$42.66	$47.86	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $93.33	Facility		$48.98	$48.98	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Professional		$63.10	$63.10	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $117.49	Facility		$48.98	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $131.83	Professional		$43.65	$48.98	$131.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74