Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $53.95 / $53.95	Professional		$52.68	$53.95	$53.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.53 / $122.53 / $122.53	Facility		$122.53	$122.53	$122.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $47.86	Professional		$22.91	$40.74	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $63.47	Professional		$53.95	$53.95	$63.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $57.19	Facility		$53.95	$53.95	$57.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $41.21 / $41.21	Professional		$41.21	$41.21	$41.21
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $68.76	Professional		$52.89	$52.89	$68.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $937.78	Facility		$75.00	$85.00	$937.78