Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $724.44	Facility		$371.54	$457.09	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $741.31 / $851.14	Facility		$426.58	$741.31	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Facility		$363.08	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $436.52	Professional		$380.19	$380.19	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Facility		$380.19	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $707.95	Facility		$380.19	$630.96	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $501.19	Professional		$380.19	$407.38	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76