Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $66.77 / $66.77	Facility		$66.77	$66.77	$66.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $66.77 / $77.87	Professional		$63.69	$66.77	$77.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $256.64 / $399.94	Professional		$167.95	$256.64	$399.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $88.00 / $173.01	Facility		$61.42	$88.00	$173.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $99.00 / $272.98	Professional		$61.42	$99.00	$272.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $199.65 / $392.61	Professional		$131.40	$199.65	$392.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $423.80 / $423.80	Facility		$148.44	$423.80	$423.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $653.40 / $653.40 / $847.90	Professional		$653.40	$653.40	$847.90