Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $15.47 / $1,539.35	Facility		$12.70	$15.47	$1,539.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $13.29 / $23.26	Professional		$12.70	$13.29	$23.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $24.02 / $27.19	Facility		$15.37	$24.02	$27.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $13.72	Professional		$12.33	$12.33	$13.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $15.24	Professional		$13.29	$13.29	$15.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $15.82 / $16.76	Facility		$12.70	$15.82	$16.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $17.28	Professional		$13.29	$13.29	$17.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00