Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $277.54 / $5,449.00	Facility		$125.03	$277.54	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $185.20 / $277.80	Professional		$125.03	$185.20	$277.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $222.44 / $451.47	Professional		$138.13	$222.44	$451.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $205.88 / $410.36	Professional		$130.63	$205.88	$410.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $190.22 / $277.80	Facility		$125.03	$190.22	$277.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.60 / $230.00 / $230.00	Professional		$211.60	$230.00	$230.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $200.07 / $450.48	Professional		$151.77	$200.07	$450.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $898.26 / $12,000.00	Facility		$898.26	$898.26	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,409.36 / $1,624.43	Professional		$953.68	$1,409.36	$1,624.43