Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $30.58 / $30.58	Facility		$30.58	$30.58	$30.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $45.25	Professional		$30.58	$30.58	$45.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $87.24 / $87.24	Professional		$87.24	$87.24	$87.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $30.58 / $58.56	Facility		$12.31	$30.58	$58.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $58.56	Professional		$44.36	$44.36	$58.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $106.48	Facility		$80.00	$85.00	$106.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $202.31 / $212.96	Professional		$202.31	$202.31	$212.96