Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $221.41 / $1,767.52	Facility		$180.21	$221.41	$1,767.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $205.96 / $283.20	Professional		$171.20	$205.96	$283.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.13 / $537.10 / $610.88	Facility		$436.13	$537.10	$610.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $198.25 / $355.28	Professional		$95.18	$198.25	$355.28
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 / $201.08 / $497.43	Professional		$119.49	$201.08	$497.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $107.28 / $400.03	Facility		$107.28	$107.28	$400.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $107.28 / $206.60	Professional		$107.28	$107.28	$206.60
United Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $133.87 / $257.45	Professional		$53.64	$133.87	$257.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $1,222.89 / $1,222.89	Facility		$447.96	$1,222.89	$1,222.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,358.79 / $1,358.79 / $1,930.88	Professional		$1,358.79	$1,358.79	$1,930.88