Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $153.82 / $613.30	Facility		$84.92	$153.82	$613.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $98.08	Professional		$53.08	$53.08	$98.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.02 / $133.03 / $148.22	Facility		$108.02	$133.03	$148.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $54.72 / $78.59	Professional		$44.21	$54.72	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $55.87	Professional		$47.49	$47.49	$55.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $63.17	Facility		$53.08	$53.08	$63.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $55.10	Professional		$55.10	$55.10	$55.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $70.06	Professional		$53.08	$53.08	$70.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $92.18 / $522.91	Facility		$75.00	$92.18	$522.91