Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.61 / $239.35 / $276.30	Professional		$188.61	$239.35	$276.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.03 / $899.83 / $1,526.98	Facility		$818.03	$899.83	$1,526.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $429.63 / $684.90	Professional		$100.00	$429.63	$684.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $811.64 / $1,353.81	Facility		$287.45	$811.64	$1,353.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $241.13 / $323.12	Facility		$231.28	$241.13	$323.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $241.13 / $330.00 / $355.00	Professional		$241.13	$330.00	$355.00
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $315.39 / $613.73	Professional		$233.42	$315.39	$613.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $3,961.55 / $3,961.55	Facility		$593.41	$3,961.55	$3,961.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,857.52 / $1,857.52 / $2,153.92	Professional		$1,857.52	$1,857.52	$2,153.92