Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $242.00 / $1,373.48	Facility		$102.05	$242.00	$1,373.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $205.96 / $257.45	Professional		$171.20	$205.96	$257.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.04 / $325.45 / $537.10	Facility		$268.04	$325.45	$537.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $218.83 / $385.43	Professional		$97.26	$218.83	$385.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.62 / $358.40 / $676.12	Facility		$195.62	$358.40	$676.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $204.18 / $450.53	Professional		$119.49	$204.18	$450.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $163.58 / $468.00	Facility		$115.32	$163.58	$468.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $111.79 / $337.99	Professional		$111.79	$111.79	$337.99
United Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $133.87 / $257.45	Professional		$54.53	$133.87	$257.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $1,228.92 / $1,228.92	Facility		$447.96	$1,228.92	$1,228.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,870.44 / $1,870.44 / $1,930.88	Professional		$1,870.44	$1,870.44	$1,930.88