Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $137.50 / $223.13	Facility		$119.82	$137.50	$223.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $119.82 / $170.89	Professional		$119.82	$119.82	$170.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $213.10 / $340.80	Facility		$144.99	$213.10	$340.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $111.78 / $144.99	Professional		$111.78	$111.78	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $171.07	Professional		$141.60	$141.60	$171.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $168.50 / $177.95	Facility		$119.82	$168.50	$177.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $89.17 / $89.17	Professional		$89.17	$89.17	$89.17
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $184.08	Professional		$141.60	$141.60	$184.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $188.35 / $188.35 / $708.00	Facility		$188.35	$188.35	$708.00