Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $369.07 / $722.54	Facility		$21.92	$369.07	$722.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $159.31 / $369.07	Professional		$21.92	$159.31	$369.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $51.72 / $299.79	Professional		$28.91	$51.72	$299.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $111.17 / $610.35	Professional		$22.04	$111.17	$610.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $55.13 / $442.88	Facility		$21.92	$55.13	$442.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $55.13 / $55.13	Professional		$55.13	$55.13	$55.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $188.06 / $334.26	Professional		$39.07	$188.06	$334.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $102.13 / $102.13 / $102.13	Facility		$102.13	$102.13	$102.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $427.30 / $2,821.80	Professional		$137.34	$427.30	$2,821.80