Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $177.83	Facility		$138.04	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $177.83	Professional		$162.18	$162.18	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $218.78	Professional		$169.82	$169.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $194.98	Facility		$120.23	$162.18	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Facility		$173.78	$173.78	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $199.53	Professional		$165.96	$190.55	$199.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96