Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $219.92	Facility		$163.19	$163.19	$219.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $163.19 / $191.23	Professional		$159.36	$163.19	$191.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $302.39 / $414.72	Facility		$172.80	$302.39	$414.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $165.12 / $165.12	Professional		$165.12	$165.12	$165.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $192.00	Professional		$163.19	$163.19	$192.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $172.99 / $211.20	Facility		$163.19	$172.99	$211.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $182.40 / $182.40	Professional		$182.40	$182.40	$182.40
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $208.00	Professional		$160.00	$160.00	$208.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $831.65	Facility		$192.00	$192.00	$831.65