Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $416.87	Professional		$263.03	$371.54	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $107.15	Facility		$54.95	$79.43	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $338.84 / $776.25	Professional		$40.74	$338.84	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $371.54 / $407.38	Facility		$48.98	$371.54	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $165.96 / $302.00	Facility		$23.44	$165.96	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $346.74	Professional		$165.96	$213.80	$346.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,995.26 / $1,995.26	Facility		$426.58	$1,995.26	$1,995.26