Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $1,949.83 / $1,949.83	Facility		$158.63	$1,949.83	$1,949.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $158.63 / $187.57	Professional		$158.63	$158.63	$187.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $138.80 / $150.09	Facility		$129.72	$138.80	$150.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $190.99 / $322.80	Facility		$161.40	$190.99	$322.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $166.71 / $190.36	Facility		$158.63	$166.71	$190.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $258.79 / $313.68	Professional		$166.71	$258.79	$313.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $209.64 / $695.26 / $784.20	Facility		$209.64	$695.26	$784.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $814.11 / $814.11 / $964.08	Professional		$814.11	$814.11	$964.08