Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $155.51 / $243.72	Facility		$132.00	$155.51	$243.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $140.99 / $169.92	Professional		$132.00	$140.99	$169.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $273.57 / $367.37	Facility		$178.05	$273.57	$367.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $148.38 / $148.38	Professional		$148.38	$148.38	$148.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $140.99	Facility		$133.01	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $182.95	Professional		$140.99	$140.99	$182.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $167.78 / $201.25	Facility		$132.00	$167.78	$201.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $121.97 / $121.97	Professional		$121.97	$121.97	$121.97
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $183.29	Professional		$140.99	$149.44	$183.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $190.85 / $704.95	Facility		$187.54	$190.85	$704.95