Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $756.25 / $1,065.48	Facility		$362.75	$756.25	$1,065.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $342.22 / $703.74	Professional		$313.68	$342.22	$703.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.77 / $704.27 / $867.33	Facility		$613.77	$704.27	$867.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.29 / $287.29 / $312.02	Professional		$287.29	$287.29	$312.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Facility		$486.76	$486.76	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $521.53	Professional		$486.76	$486.76	$521.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $342.22 / $373.28 / $546.36	Facility		$342.22	$373.28	$546.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Professional		$194.24	$194.24	$194.24
United Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $313.68 / $313.68	Facility		$313.68	$313.68	$313.68
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $392.02 / $529.09	Professional		$340.89	$392.02	$529.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $443.30 / $464.27 / $1,568.40	Facility		$443.30	$464.27	$1,568.40