Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $151.36	Facility		$81.28	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $97.72	Professional		$75.86	$79.43	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $162.18	Facility		$87.10	$128.82	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Professional		$81.28	$81.28	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $97.72	Facility		$81.28	$91.20	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $147.91	Facility		$79.43	$131.83	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11