Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.69 / $192.69 / $192.69	Facility		$192.69	$192.69	$192.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $164.75 / $214.16	Professional		$89.16	$164.75	$214.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $150.29 / $160.30	Professional		$139.50	$150.29	$160.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $314.75	Facility		$183.96	$183.96	$314.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $139.85 / $274.77	Facility		$3.69	$139.85	$274.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $49.08 / $309.00	Professional		$3.69	$49.08	$309.00
United Facility/Professional Facility Modifier Low / Median / High Price $254.47 / $254.47 / $344.16	Facility		$254.47	$254.47	$344.16
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $225.80	Professional		$215.05	$215.05	$225.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $429.90 / $1,227.31 / $1,227.31	Facility		$429.90	$1,227.31	$1,227.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,301.95 / $1,892.40 / $1,892.40	Professional		$1,301.95	$1,892.40	$1,892.40