Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $174.01 / $510.00	Facility		$14.77	$174.01	$510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $164.37 / $294.69	Professional		$164.37	$164.37	$294.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $218.87 / $269.55	Facility		$37.07	$218.87	$269.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $69.42 / $194.32	Professional		$69.42	$69.42	$194.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Facility		$294.69	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $600.00	Professional		$294.69	$294.69	$600.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $350.68 / $660.00	Facility		$164.37	$350.68	$660.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Professional		$3.40	$3.40	$3.40
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $383.10	Professional		$294.69	$294.69	$383.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $2,184.28	Facility		$510.00	$510.00	$2,184.28