Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $123.96 / $784.98	Facility		$39.22	$123.96	$784.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $24.38 / $79.92	Professional		$11.55	$24.38	$79.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $112.44 / $112.44 / $112.44	Professional	25	$112.44	$112.44	$112.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.84 / $119.84 / $119.84	Professional	50	$119.84	$119.84	$119.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $33.54 / $35.46	Professional		$17.82	$33.54	$35.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $29.67 / $59.84	Professional		$22.78	$29.67	$59.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $13.87 / $15.71	Facility		$13.87	$13.87	$15.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $21.87 / $21.87	Professional		$21.87	$21.87	$21.87
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $32.81 / $32.81 / $32.81	Professional	50	$32.81	$32.81	$32.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $24.56 / $44.01	Professional		$16.72	$24.56	$44.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $41.42 / $106.29	Facility		$30.75	$41.42	$106.29