Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $7,439.00 / $11,986.00	Facility		$1,245.00	$7,439.00	$11,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.75 / $1,133.72 / $2,181.10	Professional		$1,065.75	$1,133.72	$2,181.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,300.21 / $1,300.21 / $1,300.21	Professional		$1,300.21	$1,300.21	$1,300.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.94 / $1,840.41 / $3,593.40	Professional		$1,226.94	$1,840.41	$3,593.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.32 / $1,463.52 / $3,399.88	Professional		$1,022.32	$1,463.52	$3,399.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,064.08 / $1,431.43 / $1,840.41	Facility		$1,064.08	$1,431.43	$1,840.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.81 / $286.29 / $322.83	Facility	80	$212.81	$286.29	$322.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.00 / $1,425.00 / $1,578.05	Professional		$1,425.00	$1,425.00	$1,578.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.31 / $1,291.46 / $2,889.53	Professional		$1,011.31	$1,291.46	$2,889.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,879.05	Facility		$55.00	$55.00	$11,879.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,602.35 / $9,602.35 / $9,602.35	Professional		$9,602.35	$9,602.35	$9,602.35