Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,905.46 / $7,244.36	Facility		$724.44	$1,905.46	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	50	$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,122.02	Professional		$407.38	$575.44	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $446.68 / $1,995.26	Professional	50	$416.87	$446.68	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,288.25	Professional		$338.84	$575.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,258.93	Professional		$446.68	$660.69	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $1,047.13	Facility		$446.68	$630.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $10,471.29	Facility		$1,995.26	$7,244.36	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,096.48	Professional		$407.38	$562.34	$1,096.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $28,840.32	Facility		$5,754.40	$5,754.40	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30