Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $122.42 / $206.05	Facility		$109.73	$122.42	$206.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $117.19 / $142.03	Professional		$109.73	$117.19	$142.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.69 / $270.56 / $315.27	Facility		$219.69	$270.56	$315.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.19 / $117.19	Professional		$117.19	$117.19	$117.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $139.35	Professional		$117.36	$117.36	$139.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $139.66 / $148.82	Facility		$109.73	$139.66	$148.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $109.82 / $109.82	Professional		$109.82	$109.82	$109.82
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $152.57	Professional		$117.36	$117.36	$152.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $156.12 / $160.99 / $586.79	Facility		$156.12	$160.99	$586.79