Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $267.92 / $787.16	Facility		$129.47	$267.92	$787.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $138.52 / $457.26	Professional		$113.57	$138.52	$457.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $186.84 / $233.28	Facility		$114.70	$186.84	$233.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $117.72 / $154.16	Professional		$117.72	$117.72	$154.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $432.75	Professional		$112.45	$112.45	$432.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $133.82 / $476.03	Facility		$129.47	$133.82	$476.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $114.03 / $114.03	Professional		$114.03	$114.03	$114.03
United Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $188.89	Facility		$139.66	$139.66	$188.89
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $174.30	Professional		$112.45	$112.45	$174.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.91 / $407.91 / $701.55	Facility		$407.91	$407.91	$701.55