Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,019.95 / $3,162.28	Facility		$758.58	$3,019.95	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $954.99	Professional		$630.96	$758.58	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $2,951.21	Facility		$1,995.26	$2,884.03	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $812.83 / $1,513.56	Professional		$426.58	$812.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,513.56 / $2,511.89	Facility		$645.65	$1,513.56	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $1,380.38	Facility		$691.83	$851.14	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $954.99	Professional		$616.60	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,148.15	Facility		$575.44	$1,122.02	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,047.13	Professional		$398.11	$575.44	$1,047.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $7,079.46	Professional		$4,786.30	$4,786.30	$7,079.46