Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.85 / $1,245.00 / $9,459.00	Facility		$484.85	$1,245.00	$9,459.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,316.50 / $6,269.12 / $8,002.00	Facility	50	$4,316.50	$6,269.12	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $627.94 / $988.32	Professional		$470.76	$627.94	$988.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.77 / $369.58 / $2,693.49	Professional	50	$295.77	$369.58	$2,693.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.87 / $679.03 / $1,460.41	Professional		$484.87	$679.03	$1,460.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.01 / $710.87 / $1,520.49	Professional		$479.01	$710.87	$1,520.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $484.85 / $664.15 / $973.55	Facility		$484.85	$664.15	$973.55
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $705.93 / $1,132.22 / $1,705.27	Facility	50	$705.93	$1,132.22	$1,705.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $754.81 / $789.00 / $789.00	Professional		$754.81	$789.00	$789.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,132.22 / $1,132.22 / $1,132.22	Professional	50	$1,132.22	$1,132.22	$1,132.22
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 $512.75 / $659.84 / $1,415.99	Professional		$512.75	$659.84	$1,415.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,445.08 / $3,445.08 / $26,542.00	Facility		$3,445.08	$3,445.08	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,659.44 / $4,682.96 / $5,376.15	Professional		$3,659.44	$4,682.96	$5,376.15