Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $138.05	Facility		$125.50	$125.50	$138.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $138.05	Professional		$125.50	$125.50	$138.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.11 / $313.11 / $313.11	Facility		$313.11	$313.11	$313.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Professional		$129.33	$129.33	$129.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $147.65	Professional		$137.94	$137.94	$147.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $125.50 / $133.03	Facility		$118.39	$125.50	$133.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $123.94 / $123.94	Professional		$123.94	$123.94	$123.94
United Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $137.16 / $137.16	Facility		$101.42	$137.16	$137.16
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $177.18	Professional		$147.65	$147.65	$177.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $172.65 / $532.45	Facility		$167.50	$172.65	$532.45