Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $81.80 / $302.16	Facility		$25.09	$81.80	$302.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $33.90 / $69.14	Professional		$24.78	$33.90	$69.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $174.35 / $209.22	Facility		$66.11	$174.35	$209.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $34.65	Professional		$28.02	$28.02	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Facility		$25.37	$25.37	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $96.24	Professional		$25.37	$25.37	$96.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $30.19 / $105.86	Facility		$24.78	$30.19	$105.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $39.32	Professional		$25.37	$25.37	$39.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $141.97 / $147.61	Facility		$127.90	$141.97	$147.61