Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.54 / $558.91 / $1,615.00	Facility		$339.54	$558.91	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $382.80 / $433.64	Professional		$312.73	$382.80	$433.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.75 / $435.50 / $1,071.75	Professional		$347.75	$435.50	$1,071.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $509.31 / $1,012.80	Professional		$378.63	$509.31	$1,012.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.54 / $459.66 / $689.93	Facility		$339.54	$459.66	$689.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $583.91 / $583.91 / $583.91	Professional		$583.91	$583.91	$583.91
United Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $874.00 / $2,229.00	Facility		$304.22	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.10 / $462.34 / $1,011.46	Professional		$381.10	$462.34	$1,011.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,848.46 / $1,848.46	Facility		$55.00	$1,848.46	$1,848.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,621.04 / $3,286.72 / $3,804.53	Professional		$2,621.04	$3,286.72	$3,804.53