Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $120.23	Facility		$22.91	$57.54	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $69.18	Professional		$15.14	$21.88	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $53.70	Facility		$30.20	$39.81	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $38.02	Professional		$16.22	$20.42	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $186.21	Facility		$44.67	$64.57	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $58.88	Professional		$16.60	$33.88	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $50.12	Facility		$16.98	$25.12	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $44.67	Professional		$14.45	$25.12	$44.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Professional		$199.53	$199.53	$338.84