Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $127.35 / $365.12	Facility		$112.37	$127.35	$365.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $124.47 / $281.57	Professional		$100.27	$124.47	$281.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $148.00 / $185.24	Professional		$138.93	$148.00	$185.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $227.72 / $342.88	Professional		$93.28	$227.72	$342.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $133.69 / $158.82	Facility		$109.61	$133.69	$158.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $129.94 / $129.94	Professional		$129.94	$129.94	$129.94
United Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $145.93 / $277.57	Professional		$101.62	$145.93	$277.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.05 / $287.58 / $657.54	Facility		$247.05	$287.58	$657.54