Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $51.97 / $64.89	Facility		$26.24	$51.97	$64.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.85 / $51.97	Professional		$21.48	$26.85	$51.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $60.69 / $74.73	Facility		$43.60	$60.69	$74.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $48.07	Professional		$22.62	$22.62	$48.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $61.14	Professional		$21.48	$21.48	$61.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $26.85 / $67.25	Facility		$25.56	$26.85	$67.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $15.81 / $15.81	Professional		$15.81	$15.81	$15.81
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $28.35	Professional		$21.48	$21.48	$28.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $132.80	Facility		$75.00	$100.00	$132.80