Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.95 / $903.00 / $7,362.00	Facility		$182.95	$903.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $182.95 / $267.20	Professional		$178.14	$182.95	$267.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $242.24 / $587.04	Professional		$193.79	$242.24	$587.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $244.04 / $486.20	Professional		$179.23	$244.04	$486.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.95 / $231.42 / $292.72	Facility		$182.95	$231.42	$292.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $245.67	Professional		$240.00	$240.00	$245.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.49 / $201.48 / $445.74	Professional		$161.49	$201.48	$445.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $9,001.70 / $12,000.00	Facility		$1,050.83	$9,001.70	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,447.08 / $1,579.50 / $1,579.50	Professional		$1,447.08	$1,579.50	$1,579.50