Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $102.80 / $102.80	Professional		$99.17	$102.80	$102.80
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 $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $114.89 / $133.03	Facility		$102.80	$114.89	$133.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Professional		$114.89	$114.89	$114.89
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $131.01	Professional		$100.78	$100.78	$131.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $181.41 / $241.88	Facility		$120.94	$181.41	$241.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $459.57 / $459.57 / $544.23	Professional		$459.57	$459.57	$544.23