Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.65 / $496.74 / $614.65	Facility		$247.65	$496.74	$614.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $247.65 / $1,182.92	Professional		$87.25	$247.65	$1,182.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $168.46 / $226.22	Facility		$96.26	$168.46	$226.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $96.26 / $394.04	Professional		$96.26	$96.26	$394.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Facility		$86.38	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $468.00	Professional		$86.38	$86.38	$468.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.79 / $247.65 / $514.79	Facility		$102.79	$247.65	$514.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $404.64 / $404.64	Professional		$404.64	$404.64	$404.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $114.02	Professional		$86.38	$86.38	$114.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $649.02 / $1,621.35	Facility		$468.00	$649.02	$1,621.35