Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $42.14 / $1,789.38	Facility		$33.47	$42.14	$1,789.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $41.15	Professional		$33.47	$33.47	$41.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $56.76 / $70.87	Facility		$36.75	$56.76	$70.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Professional		$36.75	$36.75	$36.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $49.58	Professional		$42.14	$42.14	$49.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $35.47 / $54.54	Facility		$33.47	$35.47	$54.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.30 / $20.30	Professional		$20.30	$20.30	$20.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $64.03	Professional		$41.31	$41.31	$64.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $202.60	Facility		$75.00	$100.00	$202.60