Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $89.60 / $101.11	Facility		$84.46	$89.60	$101.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $84.46 / $105.20	Professional		$84.46	$84.46	$105.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $169.37 / $227.44	Facility		$90.22	$169.37	$227.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $91.86 / $91.86	Professional		$91.86	$91.86	$91.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Facility		$87.28	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $105.41	Professional		$87.28	$87.28	$105.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $103.86 / $115.95	Facility		$84.46	$103.86	$115.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.87 / $83.87	Professional		$83.87	$83.87	$83.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $113.46	Professional		$87.28	$87.28	$113.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $116.10 / $116.10 / $436.40	Facility		$116.10	$116.10	$436.40