Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $104.42 / $409.18	Facility		$56.14	$104.42	$409.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $76.87 / $108.35	Professional		$39.45	$76.87	$108.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $111.37 / $762.04	Facility		$90.43	$111.37	$762.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $49.56	Professional		$40.38	$40.38	$49.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Facility		$39.45	$39.45	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $98.38	Professional		$39.45	$39.45	$98.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $76.87 / $108.22	Facility		$46.95	$76.87	$108.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $310.77 / $310.77	Professional		$310.77	$310.77	$310.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $156.29	Professional		$39.45	$39.45	$156.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $430.71 / $716.58	Facility		$219.40	$430.71	$716.58