Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $171.78 / $238.08	Facility		$143.72	$171.78	$238.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $161.88 / $188.95	Professional		$143.72	$161.88	$188.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $293.89 / $452.27	Facility		$167.94	$293.89	$452.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $148.05 / $167.94	Professional		$148.05	$148.05	$167.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $218.36	Professional		$203.81	$203.81	$218.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $193.95 / $233.20	Facility		$143.72	$193.95	$233.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $169.10 / $169.10	Professional		$169.10	$169.10	$169.10
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $192.32 / $218.36	Professional		$162.97	$192.32	$218.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $299.86 / $662.03	Facility		$299.86	$299.86	$662.03