Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $74.72 / $74.72	Professional		$72.97	$74.72	$74.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $233.33	Professional		$175.00	$175.00	$233.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $83.51 / $301.32	Facility		$72.97	$83.51	$301.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $83.51	Professional		$83.51	$83.51	$83.51
United Facility/Professional Facility Modifier Low / Median / High Price $226.91 / $226.91 / $306.88	Facility		$226.91	$226.91	$306.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $108.56	Professional		$83.51	$83.51	$108.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $435.68 / $435.68 / $1,429.09	Facility		$435.68	$435.68	$1,429.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,337.71 / $1,626.53 / $1,626.53	Professional		$1,337.71	$1,626.53	$1,626.53