Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.20 / $1,650.72 / $7,439.00	Facility		$1,431.20	$1,650.72	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.20 / $1,431.20 / $2,250.73	Professional		$1,431.20	$1,431.20	$2,250.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,088.00 / $2,611.13 / $4,166.03	Professional		$2,088.00	$2,611.13	$4,166.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.81 / $2,502.76 / $4,428.47	Professional		$1,875.81	$2,502.76	$4,428.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,431.20 / $2,100.91 / $3,353.85	Facility		$1,431.20	$2,100.91	$3,353.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,005.25 / $2,005.25 / $2,005.25	Professional		$2,005.25	$2,005.25	$2,005.25
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 $1,466.38 / $2,240.36 / $3,968.16	Professional		$1,466.38	$2,240.36	$3,968.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,083.58 / $14,480.46	Facility		$55.00	$12,083.58	$14,480.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,098.87 / $12,375.00 / $12,375.00	Professional		$10,098.87	$12,375.00	$12,375.00