Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $55.43 / $55.43	Facility		$55.43	$55.43	$55.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $55.43 / $68.81	Professional		$55.43	$55.43	$68.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $20.60 / $23.83	Facility		$20.60	$20.60	$23.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $53.92 / $67.19	Facility		$20.12	$53.92	$67.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $161.90	Facility		$80.00	$100.00	$161.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $307.61 / $345.15	Professional		$307.61	$307.61	$345.15