Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.52 / $176.36 / $176.36	Facility		$42.52	$176.36	$176.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $63.37 / $90.48	Professional		$39.51	$63.37	$90.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $58.99 / $58.99	Facility		$58.99	$58.99	$58.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $56.63 / $95.94	Professional		$27.69	$56.63	$95.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $93.78 / $178.40	Professional		$49.87	$93.78	$178.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $65.65 / $94.57	Facility		$42.14	$65.65	$94.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $69.63 / $111.00	Professional		$47.16	$69.63	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $98.27 / $216.64	Professional		$73.47	$98.27	$216.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $207.05 / $207.05 / $207.05	Facility		$207.05	$207.05	$207.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $339.15 / $661.58	Professional		$267.82	$339.15	$661.58