Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $377.98	Facility		$127.50	$127.50	$377.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $127.50 / $149.40	Professional		$124.50	$127.50	$149.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $131.25 / $131.25	Professional		$131.25	$131.25	$131.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $150.00	Professional		$127.50	$127.50	$150.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $135.15 / $165.00	Facility		$127.50	$135.15	$165.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $142.50 / $142.50	Professional		$142.50	$142.50	$142.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $162.50	Professional		$125.00	$125.00	$162.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $1,457.50	Facility		$330.00	$330.00	$1,457.50