Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.33 / $3,477.80 / $10,000.39	Facility		$496.33	$3,477.80	$10,000.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,460.52 / $4,460.52 / $4,460.52	Facility	50	$4,460.52	$4,460.52	$4,460.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $566.14 / $791.48	Professional		$416.93	$566.14	$791.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $312.77 / $312.77 / $312.77	Professional	50	$312.77	$312.77	$312.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $645.96 / $1,338.37	Professional		$479.58	$645.96	$1,338.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.14 / $665.12 / $1,380.25	Professional		$446.14	$665.12	$1,380.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $679.49 / $946.62	Facility		$436.80	$679.49	$946.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $864.77 / $1,201.50 / $1,607.65	Facility	50	$864.77	$1,201.50	$1,607.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.19 / $742.00 / $742.00	Professional		$690.19	$742.00	$742.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,035.29 / $1,035.29 / $1,035.29	Professional	50	$1,035.29	$1,035.29	$1,035.29
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 $479.25 / $631.57 / $1,475.16	Professional		$479.25	$631.57	$1,475.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,112.56 / $3,112.56 / $26,542.00	Facility		$3,112.56	$3,112.56	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,005.00 / $4,457.92 / $5,124.60	Professional		$4,005.00	$4,457.92	$5,124.60