Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.25 / $202.65 / $348.08	Facility		$188.25	$202.65	$348.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.25 / $192.43 / $250.42	Professional		$188.25	$192.43	$250.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.46 / $312.26 / $421.03	Facility		$212.46	$312.26	$421.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $165.18 / $212.46	Professional		$165.18	$165.18	$212.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $206.59	Facility		$194.90	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $238.41	Professional		$206.59	$206.59	$238.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.25 / $245.84 / $262.25	Facility		$188.25	$245.84	$262.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $153.61 / $153.61	Professional		$153.61	$153.61	$153.61
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $320.20	Professional		$206.59	$206.59	$320.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $274.81 / $274.81 / $1,032.95	Facility		$274.81	$274.81	$1,032.95