Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.50 / $3,325.81 / $8,129.81	Facility		$1,009.50	$3,325.81	$8,129.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,009.50 / $1,664.56	Professional		$817.67	$1,009.50	$1,664.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,488.26 / $1,488.26 / $6,841.86	Professional	50	$1,488.26	$1,488.26	$6,841.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.88 / $1,337.36 / $2,800.19	Professional		$893.88	$1,337.36	$2,800.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.43 / $1,137.28 / $2,304.50	Professional		$840.43	$1,137.28	$2,304.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $998.19 / $1,105.29 / $1,489.69	Facility		$998.19	$1,105.29	$1,489.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,458.50 / $1,653.00 / $2,121.00	Facility	50	$1,458.50	$1,653.00	$2,121.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,105.29 / $1,148.00 / $1,148.00	Professional		$1,105.29	$1,148.00	$1,148.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,657.94 / $1,657.94 / $1,657.94	Professional	50	$1,657.94	$1,657.94	$1,657.94
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 $772.86 / $993.23 / $2,358.91	Professional		$772.86	$993.23	$2,358.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,580.18 / $9,001.70 / $26,542.00	Facility		$5,580.18	$9,001.70	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,410.64 / $7,410.64 / $8,466.23	Professional		$7,410.64	$7,410.64	$8,466.23