Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,849.55 / $7,439.00	Facility		$1,245.00	$1,849.55	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,849.55 / $1,849.55 / $1,921.18	Professional		$1,849.55	$1,849.55	$1,921.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,641.61 / $4,190.14 / $5,485.08	Professional		$2,641.61	$4,190.14	$5,485.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,423.00 / $16,023.00 / $31,898.00	Facility		$9,423.00	$16,023.00	$31,898.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,521.20 / $1,819.25 / $3,144.24	Facility		$1,521.20	$1,819.25	$3,144.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.25 / $1,819.25 / $1,819.25	Professional		$1,819.25	$1,819.25	$1,819.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.06 / $2,778.25 / $6,750.54	Professional		$1,807.06	$2,778.25	$6,750.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $23,636.91 / $23,636.91 / $29,534.12	Facility		$23,636.91	$23,636.91	$29,534.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,979.91 / $19,690.20 / $19,690.20	Professional		$16,979.91	$19,690.20	$19,690.20