Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $127.65 / $127.65	Facility		$93.62	$127.65	$127.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $127.65 / $127.65	Professional		$124.65	$127.65	$127.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.13 / $196.13 / $196.13	Facility		$196.13	$196.13	$196.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $131.41 / $131.41	Professional		$131.41	$131.41	$131.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $150.18	Professional		$63.43	$63.43	$150.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $127.65 / $135.31	Facility		$85.80	$127.65	$135.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $58.54 / $58.54	Professional		$58.54	$58.54	$58.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $162.69	Professional		$125.15	$125.15	$162.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $663.30	Facility		$150.18	$150.18	$663.30