Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $21.27 / $21.27	Professional		$20.52	$21.27	$21.27
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 $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $23.77 / $25.52	Facility		$21.27	$23.77	$25.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Professional		$23.77	$23.77	$23.77
United Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $8.59 / $21.48	Facility		$8.59	$8.59	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $27.92	Professional		$21.48	$21.48	$27.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $55.04 / $55.04	Professional		$55.04	$55.04	$55.04