Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $126.90 / $403.91	Facility		$126.90	$126.90	$403.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $126.90 / $126.90	Professional		$84.93	$126.90	$126.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.38 / $257.25 / $330.95	Facility		$214.38	$257.25	$330.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $179.25	Professional		$104.98	$123.50	$179.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $126.90 / $194.92	Facility		$89.18	$126.90	$194.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $104.14 / $172.84	Professional		$76.56	$104.14	$172.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.22 / $725.63 / $725.63	Facility		$245.22	$725.63	$725.63