Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.85 / $161.88 / $469.62	Facility		$142.85	$161.88	$469.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $159.74 / $341.84	Professional		$130.05	$159.74	$341.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $210.20 / $237.40	Professional		$178.05	$210.20	$237.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $292.91 / $395.80	Professional		$115.11	$292.91	$395.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $169.95 / $201.89	Facility		$134.75	$169.95	$201.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $166.41	Professional		$166.41	$166.41	$166.41
United Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $193.43 / $358.04	Professional		$109.72	$193.43	$358.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $337.30 / $394.58 / $895.52	Facility		$337.30	$394.58	$895.52