Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $139.77 / $139.77	Facility		$139.77	$139.77	$139.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $139.77 / $158.91	Professional		$139.77	$139.77	$158.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $249.02 / $326.83	Facility		$164.91	$249.02	$326.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $158.91 / $169.41	Professional		$143.94	$158.91	$169.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $158.91 / $158.91	Facility		$152.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $158.91 / $179.91	Professional		$151.58	$158.91	$179.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $161.91 / $188.55	Facility		$139.77	$161.91	$188.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $65.72 / $109.78	Professional		$65.72	$65.72	$109.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $206.60	Professional		$63.57	$158.91	$206.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $654.50 / $654.50	Facility		$211.39	$654.50	$654.50