Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $501.19	Facility		$91.20	$173.78	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $208.93	Professional		$109.65	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $323.59	Facility		$204.17	$239.88	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $123.03	Professional		$107.15	$109.65	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $154.88	Professional		$109.65	$109.65	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $138.04	Facility		$117.49	$128.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $263.03	Facility		$173.78	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $173.78	Professional		$109.65	$109.65	$173.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19