Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $8,709.64	Facility		$1,380.38	$2,238.72	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,073.80	Professional		$1,380.38	$1,659.59	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,890.45	Professional		$1,862.09	$2,570.40	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,715.35	Professional		$1,548.82	$2,238.72	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,548.13	Facility		$1,380.38	$2,137.96	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,467.37	Professional		$1,380.38	$1,995.26	$3,467.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $25,118.86 / $25,118.86	Facility		$56.23	$25,118.86	$25,118.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $16,595.87	Professional		$12,589.25	$12,589.25	$16,595.87