Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $6,918.31	Facility		$812.83	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,691.53	Professional		$776.25	$1,047.13	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,819.70	Professional		$870.96	$1,174.90	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,089.30	Professional		$812.83	$1,096.48	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,137.96	Professional		$831.76	$1,122.02	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Professional		$1,202.26	$1,202.26	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,380.38	Facility		$776.25	$1,023.29	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $6,760.83	Facility		$1,380.38	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,862.09	Professional		$707.95	$933.25	$1,862.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $28,840.32	Facility		$5,888.44	$5,888.44	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $8,511.38	Professional		$7,244.36	$7,244.36	$8,511.38