Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $341.75 / $904.89	Facility		$152.61	$341.75	$904.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $202.42 / $371.08	Professional		$152.08	$202.42	$371.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.01 / $365.77 / $407.23	Facility		$297.01	$365.77	$407.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $131.10 / $171.33	Professional		$131.10	$131.10	$171.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $186.90	Professional		$174.44	$174.44	$186.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $205.59 / $211.30	Facility		$152.08	$205.59	$211.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $131.10 / $131.10	Professional		$131.10	$131.10	$131.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $179.11 / $186.90	Professional		$155.75	$179.11	$186.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $192.63 / $373.80	Facility		$192.63	$192.63	$373.80