Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $348.89 / $1,027.73	Facility		$174.44	$348.89	$1,027.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $209.34 / $327.08	Professional		$145.01	$209.34	$327.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.40 / $462.87 / $758.99	Facility		$369.40	$462.87	$758.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $196.25 / $359.33	Professional		$132.28	$196.25	$359.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.69 / $303.48 / $572.03	Facility		$165.69	$303.48	$572.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $166.67 / $421.27	Professional		$101.19	$166.67	$421.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $149.10 / $331.73	Facility		$149.10	$149.10	$331.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $149.10 / $171.27	Professional		$149.10	$149.10	$171.27
United Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $293.37 / $352.04	Facility		$279.83	$293.37	$352.04
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $130.84 / $224.60	Professional		$74.55	$130.84	$224.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $1,035.79 / $1,035.79	Facility		$379.42	$1,035.79	$1,035.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,126.45 / $1,126.45 / $1,635.45	Professional		$1,126.45	$1,126.45	$1,635.45