Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.90 / $1,245.00 / $7,278.00	Facility		$442.90	$1,245.00	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,224.42 / $1,224.42 / $2,402.04	Facility	50	$1,224.42	$1,224.42	$2,402.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $551.90 / $739.55	Professional		$408.01	$551.90	$739.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.86 / $442.90 / $442.90	Professional	50	$65.86	$442.90	$442.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $609.07 / $1,308.47	Professional		$342.74	$609.07	$1,308.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.54 / $647.36 / $1,382.22	Professional		$448.54	$647.36	$1,382.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.90 / $654.00 / $890.80	Facility		$442.90	$654.00	$890.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $787.50 / $1,041.00 / $1,627.20	Facility	50	$787.50	$1,041.00	$1,627.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.75 / $705.00 / $705.00	Professional		$676.75	$705.00	$705.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,015.13 / $1,015.13 / $1,015.13	Professional	50	$1,015.13	$1,015.13	$1,015.13
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 $459.98 / $599.88 / $1,515.15	Professional		$459.98	$599.88	$1,515.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,150.72 / $3,150.72 / $16,394.00	Facility		$3,150.72	$3,150.72	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $4,805.00 / $4,822.88	Professional		$4,805.00	$4,805.00	$4,822.88