Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.74 / $909.65 / $7,278.00	Facility		$576.74	$909.65	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $576.74 / $843.60	Professional		$520.60	$576.74	$843.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.04 / $665.09 / $1,822.48	Professional		$527.04	$665.09	$1,822.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $717.71 / $1,503.63	Professional		$483.60	$717.71	$1,503.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.44 / $633.00 / $905.71	Facility		$554.44	$633.00	$905.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $811.50 / $949.50 / $1,270.50	Facility	50	$811.50	$949.50	$1,270.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $721.04 / $747.00 / $747.00	Professional		$721.04	$747.00	$747.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,081.56 / $1,081.56 / $1,081.56	Professional	50	$1,081.56	$1,081.56	$1,081.56
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 $489.80 / $605.40 / $1,449.85	Professional		$489.80	$605.40	$1,449.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,280.62 / $5,819.45 / $16,394.00	Facility		$3,280.62	$5,819.45	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,166.30 / $5,166.30 / $5,166.30	Professional		$5,166.30	$5,166.30	$5,166.30