Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $143.61 / $143.61	Professional		$49.76	$143.61	$143.61
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 $203.99 / $203.99 / $203.99	Professional		$203.99	$203.99	$203.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $22.23	Facility		$17.10	$17.10	$22.23
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 $219.68 / $219.68 / $282.45	Professional		$219.68	$219.68	$282.45