Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.16 / $1,478.39 / $8,413.00	Facility		$325.16	$1,478.39	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $1,478.39 / $1,978.87	Professional		$325.16	$1,478.39	$1,978.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.21 / $1,522.64 / $3,352.40	Professional		$482.21	$1,522.64	$3,352.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.55 / $1,060.31 / $3,026.66	Professional		$386.55	$1,060.31	$3,026.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $325.16 / $1,478.39 / $2,513.26	Facility		$325.16	$1,478.39	$2,513.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.68 / $1,425.68 / $1,425.68	Professional		$1,425.68	$1,425.68	$1,425.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,257.00	Facility		$3,366.00	$9,541.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.25 / $1,914.91 / $3,887.46	Professional		$1,149.25	$1,914.91	$3,887.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,574.50 / $2,574.50 / $26,542.00	Facility		$2,574.50	$2,574.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,265.00 / $10,208.65 / $11,740.13	Professional		$5,265.00	$10,208.65	$11,740.13