Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $40.20 / $201.72	Facility		$8.27	$40.20	$201.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $22.89 / $47.81	Professional		$18.17	$22.89	$47.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $69.94 / $86.13	Facility		$59.18	$69.94	$86.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $17.67	Professional		$13.10	$13.10	$17.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Facility		$18.17	$18.17	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $39.00	Professional		$18.17	$18.17	$39.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $22.89 / $42.90	Facility		$21.62	$22.89	$42.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $112.58 / $112.58	Professional		$112.58	$112.58	$112.58
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $23.98	Professional		$18.17	$18.17	$23.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $125.81 / $128.49	Facility		$75.00	$125.81	$128.49