Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $7,751.83 / $23,835.48	Facility		$203.41	$7,751.83	$23,835.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.41 / $204.54 / $285.02	Professional		$203.41	$204.54	$285.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $326.16 / $432.41	Facility		$212.62	$326.16	$432.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $196.07 / $218.21	Professional		$196.07	$196.07	$218.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $203.58	Facility		$192.06	$203.58	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $239.31	Professional		$203.58	$203.58	$239.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.54 / $242.26 / $263.24	Facility		$204.54	$242.26	$263.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $108.23 / $108.23	Professional		$108.23	$108.23	$108.23
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $271.93	Professional		$203.58	$215.79	$271.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $270.80 / $313.10 / $1,029.40	Facility		$270.80	$313.10	$1,029.40