Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $150.31 / $14,637.14	Facility		$125.10	$150.31	$14,637.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $129.47 / $157.04	Professional		$125.28	$129.47	$157.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.33 / $238.96 / $338.97	Facility		$162.33	$238.96	$338.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $136.91	Professional		$136.91	$136.91	$136.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $129.47	Facility		$122.15	$129.47	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $147.18	Professional		$129.47	$129.47	$147.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $154.08 / $161.90	Facility		$125.28	$154.08	$161.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $125.13 / $125.13	Professional		$125.13	$125.13	$125.13
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $168.32	Professional		$129.47	$129.47	$168.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $187.44 / $647.40	Facility		$172.23	$187.44	$647.40