Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $1,047.13	Facility		$169.82	$380.19	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $288.40	Professional		$162.18	$173.78	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $346.74 / $457.09	Facility		$338.84	$346.74	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $213.80	Professional		$165.96	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $338.84	Professional		$165.96	$165.96	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $229.09	Facility		$173.78	$190.55	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $354.81	Facility		$181.97	$316.23	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $288.40	Professional		$165.96	$165.96	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13