Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $260.05 / $23,267.82	Facility		$80.88	$260.05	$23,267.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $172.22 / $208.05	Professional		$143.69	$172.22	$208.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $277.27 / $341.46	Facility		$195.54	$277.27	$341.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $111.63 / $171.94	Professional		$111.63	$111.63	$171.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Facility		$172.22	$172.22	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $199.13	Professional		$172.22	$172.22	$199.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $204.94 / $219.04	Facility		$143.69	$204.94	$219.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $42.65 / $42.65	Professional		$42.65	$42.65	$42.65
United Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Facility		$172.22	$172.22	$172.22
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $227.33	Professional		$172.22	$172.22	$227.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.08 / $229.08 / $861.10	Facility		$229.08	$229.08	$861.10