Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $128.69 / $254.57	Facility		$73.41	$128.69	$254.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $90.16 / $129.25	Professional		$51.52	$90.16	$129.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $104.76 / $166.42	Professional		$67.05	$104.76	$166.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $109.24 / $184.04	Professional		$67.37	$109.24	$184.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $91.14 / $148.01	Facility		$62.81	$91.14	$148.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $89.72 / $114.46	Professional		$89.72	$89.72	$114.46
United Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $97.01 / $191.53	Professional		$55.43	$97.01	$191.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $168.81 / $441.13 / $441.13	Facility		$168.81	$441.13	$441.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $569.78 / $569.78 / $830.18	Professional		$569.78	$569.78	$830.18