Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $257.04	Facility		$138.04	$181.97	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $234.42	Professional		$123.03	$128.82	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $263.03	Facility		$158.49	$245.47	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $134.90	Professional		$131.83	$131.83	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Facility		$117.49	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $213.80	Professional		$123.03	$123.03	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $537.03	Facility		$138.04	$141.25	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $245.47	Facility		$128.82	$218.78	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $181.97	Professional		$123.03	$123.03	$181.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48