Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $72.31 / $100.80	Professional		$39.89	$72.31	$100.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $85.52 / $220.32	Professional		$40.15	$85.52	$220.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $69.48 / $69.48	Facility		$69.48	$69.48	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $79.76 / $181.09	Professional		$38.75	$79.76	$181.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $89.99 / $123.78	Facility		$42.72	$89.99	$123.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $79.47 / $129.75	Professional		$39.32	$79.47	$129.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $210.71 / $210.71 / $210.71	Facility		$210.71	$210.71	$210.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $357.89 / $638.98 / $804.60	Professional		$357.89	$638.98	$804.60