Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Facility		$22.31	$22.31	$22.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $22.31 / $22.31	Professional		$21.79	$22.31	$22.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $142.43 / $189.90	Professional		$142.43	$142.43	$189.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $24.94 / $459.91	Facility		$22.31	$24.94	$459.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.62 / $212.62 / $212.62	Professional		$212.62	$212.62	$212.62
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $128.38 / $210.99	Professional		$85.12	$128.38	$210.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.40 / $407.40 / $1,163.08	Facility		$407.40	$407.40	$1,163.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,375.72 / $1,793.40 / $1,793.40	Professional		$1,375.72	$1,793.40	$1,793.40