Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $114.82	Professional		$74.13	$109.65	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $316.23	Facility		$199.53	$234.42	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $194.98	Professional		$81.28	$95.50	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $134.90	Professional		$125.89	$134.90	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $173.78	Facility		$77.62	$109.65	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $63.10 / $109.65	Facility		$8.71	$63.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $154.88	Professional		$60.26	$95.50	$154.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65