Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $478.63 / $851.14	Facility		$25.70	$478.63	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $489.78	Professional		$104.71	$109.65	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $1,258.93	Facility		$616.60	$741.31	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $389.05 / $389.05	Professional		$104.71	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $575.44	Professional		$104.71	$104.71	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $575.44	Facility		$190.55	$478.63	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $812.83 / $912.01	Facility		$169.82	$812.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $489.78	Professional		$104.71	$104.71	$489.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76