Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $111.40 / $145.74	Professional		$87.46	$111.40	$145.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $122.81 / $274.07	Professional		$103.94	$122.81	$274.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.78 / $149.78 / $149.78	Facility		$149.78	$149.78	$149.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $131.01 / $251.32	Professional		$86.76	$131.01	$251.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $137.74 / $155.68	Facility		$94.04	$137.74	$155.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Professional		$166.00	$166.00	$166.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $109.04 / $157.49	Professional		$68.72	$109.04	$157.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $455.10 / $455.10 / $455.10	Facility		$455.10	$455.10	$455.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $729.15 / $1,000.73	Professional		$595.01	$729.15	$1,000.73