Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.23 / $689.00 / $5,449.00	Facility		$406.23	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.23 / $458.57 / $688.67	Professional		$406.23	$458.57	$688.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.13 / $640.46 / $1,163.14	Professional		$394.13	$640.46	$1,163.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.85 / $538.45 / $1,198.29	Professional		$379.85	$538.45	$1,198.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.23 / $474.69 / $845.76	Facility		$406.23	$474.69	$845.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.65 / $586.00 / $586.00	Professional		$549.65	$586.00	$586.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.46 / $470.21 / $1,097.01	Professional		$373.46	$470.21	$1,097.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,381.70 / $9,102.00 / $11,500.00	Facility		$3,381.70	$9,102.00	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,078.08 / $3,497.63 / $3,930.38	Professional		$3,078.08	$3,497.63	$3,930.38