Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $106.03 / $106.03	Facility		$78.68	$106.03	$106.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $78.68 / $106.03	Professional		$74.06	$78.68	$106.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.46 / $240.46 / $240.46	Facility		$240.46	$240.46	$240.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $81.00 / $81.00	Professional		$45.60	$81.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $107.63 / $164.78	Professional		$89.84	$107.63	$164.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $79.53 / $87.94	Facility		$76.83	$79.53	$87.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $79.53 / $79.53	Professional		$79.53	$79.53	$79.53
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $111.08	Professional		$92.57	$92.57	$111.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $127.25 / $134.22	Facility		$100.00	$127.25	$134.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,758.86 / $1,758.86 / $1,758.86	Professional		$1,758.86	$1,758.86	$1,758.86