Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $119.16	Facility		$88.43	$88.43	$119.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $88.43 / $104.04	Professional		$86.35	$88.43	$104.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.30 / $260.54 / $275.16	Facility		$229.30	$260.54	$275.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $91.04 / $91.04	Professional		$91.04	$91.04	$91.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $104.04	Professional		$88.43	$88.43	$104.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $93.74 / $114.44	Facility		$88.43	$93.74	$114.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $90.79 / $90.79	Professional		$90.79	$90.79	$90.79
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $134.38	Professional		$86.70	$86.70	$134.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $144.65 / $437.90	Facility		$111.83	$144.65	$437.90