Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $242.93 / $262.93	Professional		$95.28	$242.93	$262.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.88 / $300.27 / $300.27	Professional		$241.88	$300.27	$300.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.88 / $351.88 / $351.88	Facility		$351.88	$351.88	$351.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $247.96 / $329.01	Facility		$210.65	$247.96	$329.01
United Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $119.47 / $164.51	Professional		$79.64	$119.47	$164.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $469.17 / $1,516.58	Facility		$462.96	$469.17	$1,516.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,580.44 / $1,580.44 / $1,795.95	Professional		$1,580.44	$1,580.44	$1,795.95