Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $239.88	Facility		$117.49	$165.96	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $234.42	Professional		$138.04	$169.82	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $338.84	Facility		$186.21	$269.15	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $177.83	Professional		$93.33	$173.78	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Facility		$158.49	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $190.55	Professional		$169.82	$169.82	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $208.93	Facility		$138.04	$165.96	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $302.00	Facility		$165.96	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $218.78	Professional		$162.18	$169.82	$218.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76