Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $153.00 / $153.00	Professional		$147.60	$153.00	$153.00
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 $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $153.00 / $198.00	Facility		$126.00	$153.00	$198.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
United Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $297.00	Facility		$219.60	$219.60	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $234.00	Professional		$180.00	$180.00	$234.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $270.00 / $360.00	Facility		$171.00	$270.00	$360.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $810.00	Professional		$684.00	$684.00	$810.00