Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $162.08 / $162.08	Professional		$134.52	$162.08	$162.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.76 / $60.00	Professional		$45.60	$49.76	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $162.08 / $204.22	Facility		$155.68	$162.08	$204.22
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $213.95	Professional		$162.08	$162.08	$213.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $163.61	Facility		$162.08	$162.08	$163.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $238.54 / $238.54 / $238.54	Professional		$238.54	$238.54	$238.54