Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $6,165.95 / $8,709.64	Facility		$194.98	$6,165.95	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $239.88	Professional		$123.03	$194.98	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $426.58	Professional		$141.25	$218.78	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Professional		$977.24	$977.24	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $218.78 / $331.13	Facility		$151.36	$218.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,137.96 / $4,073.80	Facility		$676.08	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $380.19	Professional		$165.96	$223.87	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,778.28	Professional		$1,479.11	$1,778.28	$1,778.28