Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.83 / $183.21 / $258.77	Facility		$137.83	$183.21	$258.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $137.83 / $183.21	Professional		$127.45	$137.83	$183.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $245.92 / $273.38	Facility		$140.53	$245.92	$273.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $133.38	Professional		$133.38	$133.38	$133.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $215.54	Professional		$127.45	$127.45	$215.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.83 / $151.66 / $237.09	Facility		$137.83	$151.66	$237.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $151.12 / $151.12	Professional		$151.12	$151.12	$151.12
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $183.21	Professional		$127.45	$127.45	$183.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $207.20 / $1,102.17	Facility		$183.21	$207.20	$1,102.17