Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.82 / $838.00 / $10,453.00	Facility		$515.82	$838.00	$10,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.33 / $641.90 / $1,052.57	Professional		$471.33	$641.90	$1,052.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $743.38 / $1,644.73	Professional		$495.59	$743.38	$1,644.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $761.30 / $1,649.91	Professional		$484.18	$761.30	$1,649.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.82 / $719.10 / $1,063.50	Facility		$515.82	$719.10	$1,063.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $752.10 / $1,040.72 / $1,900.75	Facility	50	$752.10	$1,040.72	$1,900.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $839.78 / $891.00 / $891.00	Professional		$839.78	$891.00	$891.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,259.67 / $1,259.67 / $1,259.67	Professional	50	$1,259.67	$1,259.67	$1,259.67
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 $580.23 / $767.00 / $1,982.32	Professional		$580.23	$767.00	$1,982.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,684.60 / $3,684.60 / $26,542.00	Facility		$3,684.60	$3,684.60	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $5,315.84 / $6,114.98	Professional		$4,805.00	$5,315.84	$6,114.98