Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $104.30 / $104.30	Facility		$11.44	$104.30	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $104.30 / $104.30	Professional		$101.84	$104.30	$104.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $122.70	Professional		$108.39	$108.39	$122.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $104.30 / $110.56	Facility		$2.75	$104.30	$110.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Professional		$8.08	$8.08	$8.08
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $159.51	Professional		$122.70	$122.70	$159.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $122.70 / $541.95	Facility		$122.70	$122.70	$541.95