Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.56 / $2,314.16 / $8,002.00	Facility		$430.56	$2,314.16	$8,002.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,306.09 / $8,358.00 / $9,631.00	Facility	50	$3,306.09	$8,358.00	$9,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.92 / $524.57 / $828.01	Professional		$402.92	$524.57	$828.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $279.00 / $866.10 / $2,227.88	Professional	50	$279.00	$866.10	$2,227.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.48 / $580.24 / $1,129.24	Professional		$453.48	$580.24	$1,129.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.96 / $587.54 / $1,260.19	Professional		$408.96	$587.54	$1,260.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $413.45 / $579.89 / $886.00	Facility		$413.45	$579.89	$886.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $750.32 / $1,026.00 / $1,520.14	Facility	50	$750.32	$1,026.00	$1,520.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.89 / $608.00 / $608.00	Professional		$579.89	$608.00	$608.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $869.84 / $869.84 / $869.84	Professional	50	$869.84	$869.84	$869.84
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 $394.38 / $517.70 / $1,234.42	Professional		$394.38	$517.70	$1,234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,946.96 / $2,946.96 / $26,542.00	Facility		$2,946.96	$2,946.96	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,606.00 / $5,606.00 / $5,606.00	Professional		$5,606.00	$5,606.00	$5,606.00