Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.17 / $857.45 / $7,724.00	Facility		$434.17	$857.45	$7,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $521.00 / $917.05	Professional		$400.26	$521.00	$917.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $613.39 / $1,313.05	Professional		$477.68	$613.39	$1,313.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.29 / $643.07 / $1,381.58	Professional		$441.29	$643.07	$1,381.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $434.17 / $641.00 / $902.27	Facility		$434.17	$641.00	$902.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $814.02 / $1,095.00 / $1,530.91	Facility	50	$814.02	$1,095.00	$1,530.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.90 / $708.00 / $708.00	Professional		$676.90	$708.00	$708.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,015.35 / $1,015.35 / $1,015.35	Professional	50	$1,015.35	$1,015.35	$1,015.35
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 $460.46 / $608.41 / $1,391.45	Professional		$460.46	$608.41	$1,391.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,100.80 / $3,100.80 / $26,542.00	Facility		$3,100.80	$3,100.80	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,405.00 / $4,405.00 / $4,860.45	Professional		$4,405.00	$4,405.00	$4,860.45