Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.08 / $4,051.78 / $12,247.00	Facility		$187.08	$4,051.78	$12,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $187.08 / $187.08	Professional		$187.08	$187.08	$187.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.91 / $418.52 / $563.26	Professional		$261.91	$418.52	$563.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,191.00 / $13,191.00 / $16,023.00	Facility		$13,191.00	$13,191.00	$16,023.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.83 / $205.22 / $346.10	Facility		$146.83	$205.22	$346.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $205.22 / $205.22	Professional		$205.22	$205.22	$205.22
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $21,463.00 / $28,898.00	Facility		$10,829.00	$21,463.00	$28,898.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.45 / $266.85 / $546.19	Professional		$193.45	$266.85	$546.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,351.60 / $1,351.60 / $1,703.68	Facility		$1,351.60	$1,351.60	$1,703.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,181.11 / $1,488.38 / $1,488.38	Professional		$1,181.11	$1,488.38	$1,488.38