Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.07 / $982.24 / $1,615.00	Facility		$637.07	$982.24	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.79 / $717.12 / $819.16	Professional		$566.79	$717.12	$819.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $785.67 / $1,887.55	Professional		$617.30	$785.67	$1,887.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.55 / $928.77 / $1,832.77	Professional		$687.55	$928.77	$1,832.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $862.26 / $1,279.53	Facility		$580.00	$862.26	$1,279.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.92 / $1,000.92 / $1,000.92	Professional		$1,000.92	$1,000.92	$1,000.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.21 / $862.92 / $2,033.79	Professional		$680.21	$862.92	$2,033.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,590.84 / $4,590.84	Facility		$55.00	$4,590.84	$4,590.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,061.00 / $6,152.40 / $7,096.58	Professional		$5,061.00	$6,152.40	$7,096.58