Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.55 / $66.45 / $194.07	Facility		$58.55	$66.45	$194.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.36 / $112.39	Professional		$48.71	$66.36	$112.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $75.56 / $100.76	Professional		$74.95	$75.56	$100.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $121.03 / $176.40	Professional		$60.11	$121.03	$176.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $75.95 / $82.75	Facility		$71.11	$75.95	$82.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $102.68 / $102.68 / $102.68	Professional	50	$102.68	$102.68	$102.68
United Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $92.37 / $146.59	Professional		$55.98	$92.37	$146.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $158.83 / $370.69	Facility		$137.68	$158.83	$370.69