Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $51.29 / $194.98	Facility		$44.67	$51.29	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $72.44	Professional		$38.02	$46.77	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $141.25	Facility		$114.82	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $89.13	Professional		$38.02	$43.65	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $93.33 / $154.88	Facility		$39.81	$93.33	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $89.13	Professional		$26.92	$50.12	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $109.65	Facility		$45.71	$66.07	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $74.13	Facility		$37.15	$69.18	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $60.26	Professional		$22.91	$35.48	$60.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $436.52	Professional		$363.08	$363.08	$436.52