Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $401.08 / $757.49	Facility		$215.00	$401.08	$757.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.70 / $392.08 / $477.37	Professional		$391.70	$392.08	$477.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.96 / $806.17 / $992.82	Facility		$473.96	$806.17	$992.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.87 / $404.59 / $471.86	Professional		$393.87	$404.59	$471.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Facility		$392.09	$392.09	$392.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $471.86	Professional		$392.09	$392.09	$471.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $391.70 / $411.69 / $470.04	Facility		$391.70	$411.69	$470.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $91.00 / $411.69	Professional		$91.00	$91.00	$411.69
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $450.90	Professional		$156.84	$392.09	$450.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $521.55 / $1,973.75 / $1,973.75	Facility		$521.55	$1,973.75	$1,973.75