Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $3,979.43 / $8,413.00	Facility		$1,338.00	$3,979.43	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,468.24 / $4,669.00	Professional		$1,209.49	$1,468.24	$4,669.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.74 / $1,907.72 / $3,368.74	Professional		$1,376.74	$1,907.72	$3,368.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.86 / $1,771.28 / $3,206.34	Professional		$1,402.86	$1,771.28	$3,206.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $1,835.30 / $2,619.19	Facility		$1,302.00	$1,835.30	$2,619.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.39 / $373.42 / $704.75	Facility	80	$260.39	$373.42	$704.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.28 / $261.39 / $493.33	Facility	AS	$182.28	$261.39	$493.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $606.00 / $1,867.08	Professional		$606.00	$606.00	$1,867.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.43 / $1,507.95 / $3,673.22	Professional		$1,225.43	$1,507.95	$3,673.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,979.65 / $11,102.00 / $26,542.00	Facility		$6,979.65	$11,102.00	$26,542.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,094.56 / $2,353.26 / $6,576.94	Facility	62	$2,094.56	$2,353.26	$6,576.94
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $335.13 / $376.52 / $1,052.31	Facility	AS	$335.13	$376.52	$1,052.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,056.47 / $12,056.47 / $12,846.15	Professional		$12,056.47	$12,056.47	$12,846.15