Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.84 / $102.85 / $52,054.92	Facility		$102.84	$102.85	$52,054.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $102.85 / $102.85	Professional		$99.22	$102.85	$102.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $33.72 / $36.47	Facility		$31.52	$33.72	$36.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $115.50 / $146.74	Professional		$106.35	$115.50	$146.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $109.54 / $133.10	Facility		$102.85	$109.54	$133.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $109.54 / $109.54	Professional		$109.54	$109.54	$109.54
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $145.19	Professional		$110.00	$110.00	$145.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $181.50 / $242.00	Facility		$114.95	$181.50	$242.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $459.80 / $459.80 / $544.50	Professional		$459.80	$459.80	$544.50