Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $220.11 / $71,422.78	Facility		$172.25	$220.11	$71,422.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $172.25 / $229.60	Professional		$172.25	$172.25	$229.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $310.58 / $386.66	Facility		$198.56	$310.58	$386.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $200.49	Professional		$200.49	$200.49	$200.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $193.76	Facility		$182.79	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $223.74	Professional		$193.76	$193.76	$223.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $230.57 / $241.29	Facility		$172.25	$230.57	$241.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $147.63 / $147.63	Professional		$147.63	$147.63	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $255.76	Professional		$193.76	$193.76	$255.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $257.73 / $257.73 / $968.80	Facility		$257.73	$257.73	$968.80