Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.16 / $542.16 / $542.16	Facility		$542.16	$542.16	$542.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.56 / $542.16 / $542.16	Professional		$322.56	$542.16	$542.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $114.81 / $141.38	Facility		$87.30	$114.81	$141.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $1,050.00	Professional		$62.91	$255.74	$1,050.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $542.16 / $589.23	Facility		$79.56	$542.16	$589.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $693.00 / $693.00	Professional		$693.00	$693.00	$693.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $330.26 / $550.44	Professional		$253.21	$330.26	$550.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $919.42 / $2,663.75 / $2,663.75	Facility		$919.42	$2,663.75	$2,663.75