Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $144.80 / $144.80	Facility		$144.80	$144.80	$144.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $135.19 / $158.90	Professional		$55.09	$135.19	$158.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $106.10 / $250.53	Professional		$56.72	$106.10	$250.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $205.26	Professional		$128.26	$128.26	$205.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.41 / $136.78 / $179.71	Facility		$85.41	$136.78	$179.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $162.31 / $199.00	Professional		$124.75	$162.31	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $174.37 / $392.39	Professional		$130.38	$174.37	$392.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $348.93 / $348.93 / $348.93	Facility		$348.93	$348.93	$348.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $935.43 / $935.43 / $1,187.55	Professional		$935.43	$935.43	$1,187.55