Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $100.97 / $296.08	Facility		$89.10	$100.97	$296.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $100.34 / $193.84	Professional		$74.68	$100.34	$193.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $124.79 / $145.38	Professional		$95.92	$124.79	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $175.30 / $221.36	Professional		$87.15	$175.30	$221.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.51 / $118.79 / $298.13	Facility		$101.51	$118.79	$298.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $117.23 / $257.69	Professional		$73.78	$117.23	$257.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $282.86 / $642.87	Facility		$242.22	$282.86	$642.87