Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $141.53 / $163.19	Facility		$117.73	$141.53	$163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $141.53 / $141.53	Professional		$102.94	$141.53	$141.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Professional		$101.49	$101.49	$101.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $192.00	Professional		$102.94	$102.94	$192.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $141.53 / $211.20	Facility		$122.50	$141.53	$211.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.57 / $153.57 / $153.57	Professional		$153.57	$153.57	$153.57
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $135.88	Professional		$102.94	$102.94	$135.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $697.75	Facility		$163.19	$163.19	$697.75