Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Facility		$57.54	$57.54	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $67.61	Professional		$53.70	$57.54	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $147.91	Facility		$67.61	$107.15	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $69.18	Facility		$57.54	$61.66	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $125.89	Facility		$83.18	$112.20	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12