Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.01 / $154.01 / $154.01	Facility		$154.01	$154.01	$154.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.60 / $258.75	Professional		$154.01	$164.60	$258.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $187.04	Professional		$175.41	$175.41	$187.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.01 / $163.25 / $205.74	Facility		$154.01	$163.25	$205.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $166.26 / $166.26	Professional		$166.26	$166.26	$166.26
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $180.21 / $188.04	Professional		$156.69	$180.21	$188.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $177.69 / $177.69 / $374.08	Facility		$177.69	$177.69	$374.08