Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $393.04 / $443.49	Facility		$66.11	$393.04	$443.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $69.04 / $76.42	Professional		$47.76	$69.04	$76.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $269.13 / $303.91	Facility		$161.82	$269.13	$303.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $66.86	Professional		$57.31	$57.31	$66.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $132.94 / $250.88	Facility		$71.00	$132.94	$250.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $59.43 / $137.32	Professional		$51.08	$59.43	$137.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $69.56 / $110.18	Facility		$47.76	$69.56	$110.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $110.18 / $121.20	Professional		$64.79	$110.18	$121.20
United Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $65.92 / $95.52	Facility		$58.71	$65.92	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $55.09 / $109.35	Professional		$42.98	$55.09	$109.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $453.72 / $453.72	Facility		$186.87	$453.72	$453.72