Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $139.41 / $256.89	Facility		$121.00	$139.41	$256.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $109.92 / $139.41	Professional		$77.69	$109.92	$139.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $121.40 / $187.36	Professional		$81.81	$121.40	$187.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Facility		$186.00	$186.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $124.09 / $259.83	Professional		$92.37	$124.09	$259.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.19 / $136.38 / $190.25	Facility		$98.19	$136.38	$190.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $123.79 / $150.91	Professional		$108.23	$123.79	$150.91
United Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $142.24 / $190.70	Professional		$113.05	$142.24	$190.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $575.71 / $864.36	Facility		$272.80	$575.71	$864.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.54 / $1,393.95 / $1,393.95	Professional		$1,071.54	$1,393.95	$1,393.95