Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.56 / $1,422.50 / $10,924.00	Facility		$902.56	$1,422.50	$10,924.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.56 / $902.56 / $1,422.50	Professional		$902.56	$902.56	$1,422.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.04 / $1,637.39 / $2,544.89	Professional		$1,039.04	$1,637.39	$2,544.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.29 / $1,537.87 / $2,703.06	Professional		$1,138.29	$1,537.87	$2,703.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $856.75 / $1,225.84 / $1,886.35	Facility		$856.75	$1,225.84	$1,886.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,225.84 / $1,225.84 / $1,225.84	Professional		$1,225.84	$1,225.84	$1,225.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.96 / $1,404.46 / $2,447.84	Professional		$920.96	$1,404.46	$2,447.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,657.44 / $16,479.68	Facility		$55.00	$13,657.44	$16,479.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,462.56 / $7,877.48 / $7,877.48	Professional		$6,462.56	$7,877.48	$7,877.48