Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $103.83 / $164.22	Facility		$103.83	$103.83	$164.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $95.78 / $108.98	Professional		$82.17	$95.78	$108.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $143.24 / $249.23	Professional		$96.28	$143.24	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $103.83 / $127.71	Facility		$74.27	$103.83	$127.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $90.86 / $106.10	Professional		$90.86	$90.86	$106.10
United Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $138.72 / $211.68	Professional		$103.95	$138.72	$211.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $171.26 / $194.76 / $529.32	Facility		$171.26	$194.76	$529.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $852.30 / $852.30	Professional		$661.36	$852.30	$852.30