Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $302.94 / $483.14	Facility		$262.70	$302.94	$483.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $293.60 / $371.83	Professional		$262.70	$293.60	$371.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $502.16 / $802.59	Facility		$318.37	$502.16	$802.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.36 / $232.36 / $324.16	Professional		$232.36	$232.36	$324.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $308.68 / $308.68	Facility		$291.20	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $361.68	Professional		$308.68	$308.68	$361.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $367.33 / $392.04	Facility		$262.70	$367.33	$392.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $243.50 / $243.50	Professional		$243.50	$243.50	$243.50
United Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $308.68 / $401.28	Professional		$307.43	$308.68	$401.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $410.61 / $410.61 / $1,543.40	Facility		$410.61	$410.61	$1,543.40