Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $102.07 / $289.77	Facility		$102.06	$102.07	$289.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $102.07 / $133.41	Professional		$93.42	$102.07	$133.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $138.10 / $221.54	Facility		$115.08	$138.10	$221.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $96.71 / $248.32	Professional		$77.37	$96.71	$248.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $64.00 / $186.00	Facility		$45.00	$64.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $133.49 / $251.08	Professional		$68.45	$133.49	$251.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $102.07 / $148.35	Facility		$72.00	$102.07	$148.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $80.00 / $87.04	Professional		$73.33	$80.00	$87.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $112.73 / $273.91	Professional		$77.81	$112.73	$273.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $189.55 / $383.79 / $534.23	Facility		$189.55	$383.79	$534.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $657.65 / $850.58 / $850.58	Professional		$657.65	$850.58	$850.58