Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.82 / $1,245.00 / $10,561.00	Facility		$615.82	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $615.82 / $1,030.92	Professional		$565.32	$615.82	$1,030.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $871.79 / $1,948.12	Professional		$601.29	$871.79	$1,948.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.97 / $786.85 / $1,863.07	Professional		$585.97	$786.85	$1,863.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $615.82 / $738.98 / $966.66	Facility		$615.82	$738.98	$966.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $898.22 / $1,110.00 / $1,413.00	Facility	50	$898.22	$1,110.00	$1,413.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $769.78 / $799.00 / $799.00	Professional		$769.78	$799.00	$799.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.84 / $648.08 / $1,547.81	Professional		$522.84	$648.08	$1,547.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,503.76 / $9,001.70 / $26,542.00	Facility		$3,503.76	$9,001.70	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,206.00 / $5,206.00 / $5,290.28	Professional		$5,206.00	$5,206.00	$5,290.28