Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $812.83	Facility		$204.17	$457.09	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $316.23	Professional		$173.78	$208.93	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $758.58	Facility		$588.84	$758.58	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $831.76	Professional		$109.65	$229.09	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $676.08	Facility		$173.78	$407.38	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $524.81	Professional		$120.23	$190.55	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $478.63	Facility		$204.17	$257.04	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $436.52	Facility		$213.80	$338.84	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $257.04	Professional		$53.70	$128.82	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,949.84	Professional		$1,348.96	$1,348.96	$1,949.84