Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $133.35 / $753.89	Facility		$49.75	$133.35	$753.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $98.15 / $118.77	Professional		$61.05	$98.15	$118.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $134.41 / $165.53	Facility		$90.93	$134.41	$165.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $87.09	Professional		$49.03	$49.03	$87.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $103.33	Professional		$96.58	$96.58	$103.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $98.16 / $116.81	Facility		$96.68	$98.16	$116.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $99.16 / $103.33	Professional		$86.23	$99.16	$103.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $106.49 / $175.78	Facility		$106.49	$106.49	$175.78