Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $608.00 / $933.86	Facility		$478.80	$608.00	$933.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $608.00 / $805.60	Professional		$505.40	$608.00	$805.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.47 / $1,527.06 / $1,644.84	Facility		$1,287.47	$1,527.06	$1,644.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.78 / $760.00 / $1,294.52	Professional		$511.78	$760.00	$1,294.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.49 / $1,057.84 / $1,995.44	Facility		$577.49	$1,057.84	$1,995.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $560.66 / $1,053.08	Professional		$280.33	$560.66	$1,053.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.10 / $602.10 / $1,113.89	Facility		$602.10	$602.10	$1,113.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $494.00 / $602.10	Professional		$494.00	$494.00	$602.10
United Facility/Professional Professional Modifier Low / Median / High Price $301.05 / $456.00 / $760.00	Professional		$301.05	$456.00	$760.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00