Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $108.58 / $344.54	Facility		$88.36	$108.58	$344.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $88.36 / $108.58	Professional		$69.73	$88.36	$108.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.30 / $188.76 / $318.47	Facility		$157.30	$188.76	$318.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $112.50 / $119.02	Professional		$82.37	$112.50	$119.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $101.25	Professional		$69.73	$69.73	$101.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $88.36 / $106.03	Facility		$73.20	$88.36	$106.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $84.00 / $95.63	Professional		$78.75	$84.00	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $90.65	Professional		$27.89	$69.73	$90.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $350.53 / $350.53	Facility		$200.27	$350.53	$350.53