Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $1,423.75	Facility		$1,423.75	$1,423.75	$1,423.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.25 / $1,423.75 / $1,423.75	Professional		$1,390.25	$1,423.75	$1,423.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.50 / $1,127.50 / $1,503.33	Professional		$1,127.50	$1,127.50	$1,503.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $1,591.25 / $3,376.19	Facility		$210.00	$1,591.25	$3,376.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,591.25 / $1,591.25 / $1,591.25	Professional		$1,591.25	$1,591.25	$1,591.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,211.00	Professional		$1,675.00	$1,675.00	$2,211.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,225.19 / $3,225.19 / $9,207.50	Facility		$3,225.19	$3,225.19	$9,207.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,274.74 / $14,197.28 / $14,197.28	Professional		$10,274.74	$14,197.28	$14,197.28