Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.23 / $168.23 / $168.23	Facility		$168.23	$168.23	$168.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $151.51 / $174.58	Professional		$133.66	$151.51	$174.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $194.62 / $414.87	Professional		$123.72	$194.62	$414.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $164.96 / $221.66	Facility		$115.47	$164.96	$221.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $164.96	Professional		$147.22	$147.22	$164.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $223.06 / $332.09	Professional		$162.01	$223.06	$332.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $315.45 / $875.25 / $875.25	Facility		$315.45	$875.25	$875.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $971.64 / $1,405.35 / $1,756.13	Professional		$971.64	$1,405.35	$1,756.13