Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $40.07 / $49.54	Facility		$21.29	$40.07	$49.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $21.29 / $46.96	Professional		$21.29	$21.29	$46.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.46 / $122.46 / $122.46	Facility		$122.46	$122.46	$122.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $47.14	Professional		$41.64	$41.64	$47.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $22.57 / $52.33	Facility		$21.29	$22.57	$52.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $73.06	Professional		$47.14	$47.14	$73.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $208.20	Facility		$50.12	$100.00	$208.20