Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $298.69 / $420.91	Facility		$115.91	$298.69	$420.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $195.83 / $304.04	Professional		$139.91	$195.83	$304.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $134.22 / $201.30	Professional		$134.22	$134.22	$201.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $230.39	Professional		$215.17	$215.17	$230.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $172.84 / $241.40	Facility		$163.06	$172.84	$241.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $96.55 / $96.55	Professional		$96.55	$96.55	$96.55
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $226.70 / $230.54	Professional		$192.12	$226.70	$230.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $218.87 / $218.87 / $438.90	Facility		$218.87	$218.87	$438.90