Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $178.56 / $178.56	Facility		$152.90	$178.56	$178.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $169.48 / $178.56	Professional		$112.39	$169.48	$178.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $98.18 / $120.91	Facility		$34.86	$98.18	$120.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $192.50 / $192.50	Professional		$70.00	$192.50	$192.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $147.10 / $147.10	Facility		$16.89	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $178.56 / $214.27	Facility		$33.00	$178.56	$214.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $188.95	Professional		$33.00	$33.00	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $16.05 / $29.97	Professional		$9.82	$16.05	$29.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $100.00 / $291.04	Facility		$76.00	$100.00	$291.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $543.62 / $543.62 / $543.62	Professional		$543.62	$543.62	$543.62