Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,985.91 / $7,439.00	Facility		$1,615.00	$1,985.91	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.29 / $1,717.29 / $2,781.21	Professional		$1,717.29	$1,717.29	$2,781.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.47 / $3,141.34 / $4,696.34	Professional		$1,991.47	$3,141.34	$4,696.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.73 / $3,011.89 / $5,290.44	Professional		$2,234.73	$3,011.89	$5,290.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,717.29 / $2,527.52 / $4,020.15	Facility		$1,717.29	$2,527.52	$4,020.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,404.30 / $2,404.30 / $2,404.30	Professional		$2,404.30	$2,404.30	$2,404.30
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 $1,761.34 / $2,695.33 / $4,766.34	Professional		$1,761.34	$2,695.33	$4,766.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,754.40 / $30,845.44	Facility		$55.00	$25,754.40	$30,845.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,101.20 / $14,834.18 / $14,834.18	Professional		$12,101.20	$14,834.18	$14,834.18