Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $744.33 / $1,229.61	Facility		$103.09	$744.33	$1,229.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.11 / $638.70 / $900.38	Professional		$637.11	$638.70	$900.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.54 / $270.64 / $1,614.57	Facility		$225.54	$270.64	$1,614.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.34 / $549.34 / $742.90	Professional		$549.34	$549.34	$742.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $875.68	Professional		$748.84	$748.84	$875.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $638.70 / $891.13 / $963.25	Facility		$638.70	$891.13	$963.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $69.72 / $69.72	Professional		$69.72	$69.72	$69.72
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $973.51	Professional		$748.85	$748.85	$973.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $996.11 / $996.11 / $3,744.25	Facility		$996.11	$996.11	$3,744.25