Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $8,709.64	Facility		$1,698.24	$2,884.03	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $4,265.80	Professional		$1,698.24	$1,995.26	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $4,677.35	Professional		$1,995.26	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,677.35	Professional		$2,137.96	$2,884.03	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,265.80	Facility		$1,698.24	$2,187.76	$4,265.80
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 $1,778.28 / $2,570.40 / $4,365.16	Professional		$1,778.28	$2,570.40	$4,365.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $30,902.95 / $30,902.95	Facility		$56.23	$30,902.95	$30,902.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,791.08 / $14,791.08	Professional		$12,022.64	$14,791.08	$14,791.08