Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $935.42 / $8,158.00	Facility		$532.39	$935.42	$8,158.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,253.67 / $5,808.15 / $8,612.25	Facility	50	$1,253.67	$5,808.15	$8,612.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $561.58 / $1,012.06	Professional		$497.31	$561.58	$1,012.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $601.44 / $782.45 / $1,062.05	Professional	50	$601.44	$782.45	$1,062.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.98 / $653.27 / $1,413.97	Professional		$549.98	$653.27	$1,413.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.41 / $751.60 / $1,297.07	Professional		$585.41	$751.60	$1,297.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $681.01 / $965.62	Facility		$532.39	$681.01	$965.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $874.64 / $1,246.97 / $1,808.17	Facility	50	$874.64	$1,246.97	$1,808.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.31 / $831.31 / $852.00	Professional		$831.31	$831.31	$852.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,246.97 / $1,246.97 / $1,246.97	Professional	50	$1,246.97	$1,246.97	$1,246.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.52 / $598.99 / $1,345.47	Professional		$503.52	$598.99	$1,345.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,773.22 / $3,773.22 / $26,542.00	Facility		$3,773.22	$3,773.22	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,001.52 / $4,504.96 / $5,163.00	Professional		$4,001.52	$4,504.96	$5,163.00