Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $425.12 / $496.36	Facility		$401.62	$425.12	$496.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $422.50	Professional		$289.39	$401.62	$422.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.39 / $1,414.39 / $1,414.39	Facility		$1,414.39	$1,414.39	$1,414.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $568.77 / $568.77	Professional		$568.77	$568.77	$568.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $198.02 / $289.45	Facility		$97.94	$198.02	$289.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $280.01 / $350.02	Professional		$103.88	$280.01	$350.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.80 / $401.62 / $401.62	Facility		$346.80	$401.62	$401.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $360.00 / $504.00	Professional		$180.00	$360.00	$504.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $780.30 / $780.30 / $780.30	Facility		$780.30	$780.30	$780.30