Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.78 / $121.78 / $198.37	Facility		$121.78	$121.78	$198.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $113.46 / $131.18	Professional		$96.86	$113.46	$131.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $174.96 / $304.43	Professional		$113.17	$174.96	$304.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $121.78 / $152.60	Facility		$90.72	$121.78	$152.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $106.73 / $129.60	Professional		$106.73	$106.73	$129.60
United Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $160.46 / $254.16	Professional		$124.46	$160.46	$254.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $229.07 / $601.19	Facility		$197.09	$229.07	$601.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $973.43 / $973.43	Professional		$768.84	$973.43	$973.43