Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.06 / $542.16 / $680.71	Facility		$370.06	$542.16	$680.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $542.16 / $682.19	Professional		$542.16	$542.16	$682.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.17 / $1,098.33 / $1,148.85	Facility		$695.17	$1,098.33	$1,148.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $317.56 / $595.71	Professional		$317.56	$317.56	$595.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $572.96	Facility		$540.53	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $836.88	Professional		$572.96	$572.96	$836.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $542.16 / $681.82 / $880.92	Facility		$542.16	$681.82	$880.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $306.93 / $306.93	Professional		$306.93	$306.93	$306.93
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $960.32	Professional		$572.96	$572.96	$960.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $762.15 / $762.15 / $2,864.80	Facility		$762.15	$762.15	$2,864.80