Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $249.99	Professional		$89.88	$174.10	$249.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $1,012.73 / $1,012.73	Professional		$49.76	$1,012.73	$1,012.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $280.58	Facility		$174.10	$174.10	$280.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.08 / $537.08 / $690.53	Professional		$537.08	$537.08	$690.53