Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $3,669.42 / $7,514.70	Facility		$158.60	$3,669.42	$7,514.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $132.52 / $2,757.20	Professional		$100.12	$132.52	$2,757.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $191.24 / $272.58	Facility		$107.61	$191.24	$272.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $109.57 / $109.57	Professional		$109.57	$109.57	$109.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $99.13	Facility		$93.52	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $208.75	Professional		$99.13	$99.13	$208.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $132.52 / $229.63	Facility		$117.96	$132.52	$229.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.35 / $358.35 / $358.35	Professional		$358.35	$358.35	$358.35
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $105.08 / $153.65	Professional		$99.13	$105.08	$153.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $417.50 / $417.50 / $1,345.20	Facility		$417.50	$417.50	$1,345.20