Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,949.84	Facility		$467.74	$758.58	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $691.83	Professional		$407.38	$501.19	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $2,454.71	Facility		$1,230.27	$2,454.71	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $263.03 / $407.38	Professional		$100.00	$263.03	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $851.14 / $1,513.56	Facility		$380.19	$851.14	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $831.76	Professional		$302.00	$380.19	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,047.13	Professional		$478.63	$478.63	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $630.96 / $1,122.02	Facility		$309.03	$630.96	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $794.33	Professional		$467.74	$724.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $1,023.29	Facility		$288.40	$575.44	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $812.83	Professional		$245.47	$407.38	$812.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23