Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.41 / $119.89 / $151.97	Facility		$101.41	$119.89	$151.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $101.41 / $148.40	Professional		$101.41	$101.41	$148.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.67 / $381.19 / $412.82	Facility		$287.67	$381.19	$412.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $62.98 / $62.98	Professional		$62.98	$62.98	$62.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $178.80	Professional		$151.97	$151.97	$178.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.41 / $101.41 / $107.49	Facility		$101.41	$101.41	$107.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $64.98 / $64.98	Professional		$64.98	$64.98	$64.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.80 / $178.80 / $178.80	Facility		$178.80	$178.80	$178.80