Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.37 / $662.15 / $852.48	Facility		$371.37	$662.15	$852.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.62 / $593.00 / $698.23	Professional		$545.62	$593.00	$698.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.36 / $992.87 / $1,222.75	Facility		$812.36	$992.87	$1,222.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.51 / $451.51 / $577.04	Professional		$451.51	$451.51	$577.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Facility		$593.00	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $779.00	Professional		$593.00	$593.00	$779.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $545.62 / $705.67 / $856.90	Facility		$545.62	$705.67	$856.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Professional		$211.82	$211.82	$211.82
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $770.90	Professional		$593.00	$593.00	$770.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $788.80 / $790.53 / $2,965.00	Facility		$788.80	$790.53	$2,965.00