Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $821.03 / $2,920.00	Facility		$318.75	$821.03	$2,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.96 / $1,214.64 / $1,495.86	Facility		$987.96	$1,214.64	$1,495.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.64 / $1,141.99 / $1,141.99	Facility		$401.64	$1,141.99	$1,141.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.40 / $1,317.63 / $1,317.63	Professional		$412.40	$1,317.63	$1,317.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $430.31	Facility		$318.75	$318.75	$430.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00