Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $127.50 / $127.50	Professional		$123.00	$127.50	$127.50
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 $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $142.50 / $153.00	Facility		$127.50	$142.50	$153.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $142.50 / $142.50	Professional		$142.50	$142.50	$142.50
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $150.00	Facility		$60.00	$60.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $195.00	Professional		$150.00	$150.00	$195.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $150.00 / $217.50	Facility		$127.50	$150.00	$217.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $330.00 / $337.50	Professional		$330.00	$330.00	$337.50