Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.27 / $95.15 / $256.17	Facility		$80.27	$95.15	$256.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $87.62 / $169.19	Professional		$71.18	$87.62	$169.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $101.95 / $101.95	Professional	25	$20.57	$101.95	$101.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $111.40 / $134.44	Professional		$100.83	$111.40	$134.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $159.77 / $228.22	Professional		$84.70	$159.77	$228.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.76 / $107.02 / $118.94	Facility		$99.76	$107.02	$118.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $90.46 / $90.46	Professional		$90.46	$90.46	$90.46
United Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $116.63 / $208.99	Professional		$78.29	$116.63	$208.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $200.49 / $230.79 / $535.79	Facility		$200.49	$230.79	$535.79