Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.75 / $80.75	Facility		$65.00	$80.75	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $381.23	Professional		$80.75	$80.75	$381.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.25 / $250.25 / $333.67	Professional		$250.25	$250.25	$333.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $80.75 / $265.92	Facility		$52.12	$80.75	$265.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $61.75 / $61.75	Professional		$61.75	$61.75	$61.75
United Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $390.00 / $468.00	Professional		$381.23	$390.00	$468.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.08 / $426.08 / $475.41	Facility		$426.08	$426.08	$475.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $941.85 / $941.85 / $1,771.58	Professional		$941.85	$941.85	$1,771.58