Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.20 / $195.20 / $195.20	Facility		$195.20	$195.20	$195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $195.20 / $195.20	Professional		$117.01	$195.20	$195.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $41.33 / $50.90	Facility		$32.43	$41.33	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $178.86 / $379.69	Professional		$152.03	$178.86	$379.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $195.20 / $214.72	Facility		$29.55	$195.20	$214.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $135.71 / $214.20	Professional		$94.14	$135.71	$214.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $383.79 / $1,287.82 / $1,287.82	Facility		$383.79	$1,287.82	$1,287.82