Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.90 / $729.46 / $8,442.00	Facility		$460.90	$729.46	$8,442.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,919.00 / $1,919.00 / $4,228.84	Facility	50	$1,919.00	$1,919.00	$4,228.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $570.19 / $915.68	Professional		$428.62	$570.19	$915.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $829.62 / $907.65 / $1,038.27	Professional	50	$829.62	$907.65	$1,038.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.39 / $629.11 / $1,368.04	Professional		$387.39	$629.11	$1,368.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $686.74 / $1,463.98	Professional		$466.14	$686.74	$1,463.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.90 / $701.83 / $1,075.70	Facility		$460.90	$701.83	$1,075.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $846.48 / $1,318.50 / $1,839.00	Facility	50	$846.48	$1,318.50	$1,839.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $714.85 / $731.00 / $731.00	Professional		$714.85	$731.00	$731.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,072.28 / $1,072.28 / $1,072.28	Professional	50	$1,072.28	$1,072.28	$1,072.28
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 $485.69 / $646.73 / $1,436.86	Professional		$485.69	$646.73	$1,436.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,274.32 / $3,274.32 / $26,542.00	Facility		$3,274.32	$3,274.32	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,569.00 / $7,569.00 / $7,569.00	Professional		$7,569.00	$7,569.00	$7,569.00