Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.34 / $516.00 / $1,668.00	Facility		$195.34	$516.00	$1,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $195.34 / $275.00	Professional		$195.34	$195.34	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.90 / $733.90 / $733.90	Professional		$733.90	$733.90	$733.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $223.70 / $707.53	Facility		$223.70	$223.70	$707.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $935.47 / $935.47	Professional		$350.00	$935.47	$935.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $190.57 / $438.31	Facility		$190.57	$190.57	$438.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $258.00 / $701.30	Professional		$83.00	$258.00	$701.30
United Facility/Professional Facility Modifier Low / Median / High Price $537.46 / $537.46 / $537.46	Facility		$537.46	$537.46	$537.46
United Facility/Professional Professional Modifier Low / Median / High Price $341.27 / $449.79 / $967.89	Professional		$341.27	$449.79	$967.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $2,613.82 / $2,613.82	Facility		$426.40	$2,613.82	$2,613.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,679.48 / $1,679.48	Professional		$1,293.17	$1,679.48	$1,679.48