Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $299.83	Facility		$299.83	$299.83	$299.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $299.83 / $299.83	Professional		$263.62	$299.83	$299.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.88 / $397.88 / $397.88	Facility		$397.88	$397.88	$397.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $200.00 / $200.00	Professional		$185.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $65.98 / $92.29	Facility		$39.63	$65.98	$92.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $109.45 / $136.81	Professional		$103.88	$109.45	$136.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.62 / $299.83 / $329.82	Facility		$263.62	$299.83	$329.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $283.50 / $283.50	Professional		$283.50	$283.50	$283.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $560.70 / $560.70 / $560.70	Facility		$560.70	$560.70	$560.70