Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.03 / $245.03 / $245.03	Facility		$245.03	$245.03	$245.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $245.03 / $245.03	Professional		$170.95	$245.03	$245.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.96 / $181.97 / $200.17	Professional		$181.96	$181.97	$200.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $360.00	Professional		$306.00	$306.00	$360.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $167.78 / $365.00	Facility		$4.69	$167.78	$365.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $390.00	Professional		$300.00	$300.00	$390.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $349.68 / $411.41 / $1,485.99	Facility		$349.68	$411.41	$1,485.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,655.67 / $2,291.25 / $2,291.25	Professional		$1,655.67	$2,291.25	$2,291.25