Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $164.81 / $357.12	Facility		$125.77	$164.81	$357.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $149.83 / $302.32	Professional		$137.29	$149.83	$302.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $129.19 / $161.72	Professional		$129.19	$129.19	$161.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $176.27	Professional		$164.66	$164.66	$176.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $145.53 / $193.90	Facility		$137.29	$145.53	$193.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $122.85	Professional		$122.85	$122.85	$122.85
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $173.48 / $227.88	Professional		$147.02	$173.48	$227.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $167.46 / $352.54	Facility		$167.46	$167.46	$352.54