Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.19 / $255.00 / $255.00	Facility		$143.19	$255.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $255.00 / $255.00	Professional		$249.00	$255.00	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $425.25 / $425.25	Facility		$425.25	$425.25	$425.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $262.50 / $300.00	Professional		$262.50	$262.50	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $279.38	Professional		$255.00	$255.00	$279.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $255.00 / $306.00	Facility		$240.00	$255.00	$306.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $255.00	Professional		$54.00	$54.00	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $325.00	Professional		$100.00	$250.00	$325.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,270.34 / $1,270.34	Facility		$300.00	$1,270.34	$1,270.34