Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $121.01 / $406.79	Facility		$91.80	$121.01	$406.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $102.98 / $265.88	Professional		$85.61	$102.98	$265.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $162.74 / $268.56	Facility		$134.01	$162.74	$268.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $74.14 / $136.32	Professional		$46.68	$74.14	$136.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.81 / $179.20 / $338.06	Facility		$97.81	$179.20	$338.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $103.05 / $248.72	Professional		$59.74	$103.05	$248.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.92 / $54.92 / $200.01	Facility		$54.92	$54.92	$200.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $54.92 / $103.30	Professional		$54.92	$54.92	$103.30
United Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $71.52 / $128.72	Professional		$27.46	$71.52	$128.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $231.55 / $611.47 / $611.47	Facility		$231.55	$611.47	$611.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $737.88 / $737.88 / $965.48	Professional		$737.88	$737.88	$965.48