Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $110.83 / $323.55	Facility		$110.83	$110.83	$323.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $110.83 / $110.83	Professional		$78.36	$110.83	$110.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.14 / $234.69 / $289.02	Facility		$195.14	$234.69	$289.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $156.75	Professional		$82.11	$96.60	$156.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $110.83 / $171.36	Facility		$77.26	$110.83	$171.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $150.00 / $150.00	Professional		$125.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $96.58 / $167.65	Professional		$67.20	$96.58	$167.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $652.11 / $652.11	Facility		$258.27	$652.11	$652.11