Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $426.58 / $524.81	Facility		$107.15	$426.58	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Professional		$95.50	$114.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $588.84	Facility		$295.12	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $95.50	Professional		$63.10	$81.28	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $194.98 / $354.81	Facility		$46.77	$194.98	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $194.98	Professional		$70.79	$100.00	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $141.25	Facility		$100.00	$112.20	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $141.25	Professional		$109.65	$109.65	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $117.49 / $177.83	Facility		$51.29	$117.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $169.82	Professional		$48.98	$81.28	$169.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65