Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.92 / $2,502.98 / $9,706.00	Facility		$959.92	$2,502.98	$9,706.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $649.83 / $649.83 / $1,061.74	Facility	54	$649.83	$649.83	$1,061.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $866.44 / $1,894.81	Professional		$782.64	$866.44	$1,894.81
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $126.31 / $129.97 / $190.22	Professional	55	$126.31	$129.97	$190.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.57 / $1,213.30 / $2,741.46	Professional		$874.57	$1,213.30	$2,741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.75 / $1,119.92 / $2,675.47	Professional		$821.75	$1,119.92	$2,675.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $866.44 / $1,067.83 / $1,610.00	Facility		$866.44	$1,067.83	$1,610.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,078.86 / $1,124.00 / $1,124.00	Professional		$1,078.86	$1,124.00	$1,124.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.10 / $925.34 / $2,145.41	Professional		$732.10	$925.34	$2,145.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,074.35 / $6,887.55 / $26,542.00	Facility		$4,074.35	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,449.79 / $1,628.84 / $4,569.92	Facility	54	$1,449.79	$1,628.84	$4,569.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,516.24 / $6,516.24 / $7,369.65	Professional		$6,516.24	$6,516.24	$7,369.65