Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.64 / $122.64 / $219.85	Facility		$122.64	$122.64	$219.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $122.64 / $126.04	Professional		$23.45	$122.64	$126.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $68.94 / $127.70	Professional		$30.66	$68.94	$127.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $173.65 / $319.45	Professional		$120.96	$173.65	$319.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $96.80 / $154.53	Facility		$31.99	$96.80	$154.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Professional		$31.99	$31.99	$31.99
United Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $116.81 / $246.50	Professional		$91.98	$116.81	$246.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $248.77 / $679.82	Facility		$237.96	$248.77	$679.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $828.33 / $828.33 / $1,050.59	Professional		$828.33	$828.33	$1,050.59