Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $129.82 / $380.19	Facility		$114.54	$129.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $127.88 / $276.68	Professional		$102.21	$127.88	$276.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $165.10 / $197.26	Professional		$147.94	$165.10	$197.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $218.65 / $291.52	Professional		$106.00	$218.65	$291.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $136.28 / $169.58	Facility		$124.70	$136.28	$169.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $133.88 / $133.88	Professional		$133.88	$133.88	$133.88
United Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $153.94 / $300.52	Professional		$105.00	$153.94	$300.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $286.60 / $330.02 / $761.19	Facility		$286.60	$330.02	$761.19