Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $76.76 / $5,858.09	Facility		$38.76	$76.76	$5,858.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.86 / $52.23	Professional		$39.83	$39.86	$52.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $103.78 / $124.54	Facility		$81.95	$103.78	$124.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.90	Professional		$39.83	$39.83	$39.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $45.60	Professional		$39.83	$39.83	$45.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $47.40 / $50.16	Facility		$39.86	$47.40	$50.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $51.78	Professional		$39.83	$39.83	$51.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $199.15	Facility		$75.00	$75.00	$199.15