Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,378.42 / $4,483.93 / $4,483.93	Professional		$4,378.42	$4,483.93	$4,483.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.29 / $912.29 / $1,216.39	Professional		$912.29	$912.29	$1,216.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,275.21	Professional		$4,483.93	$4,483.93	$5,275.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $664.30 / $2,815.34 / $4,708.13	Facility		$664.30	$2,815.34	$4,708.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,568.78 / $3,568.78 / $3,568.78	Professional		$3,568.78	$3,568.78	$3,568.78
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,857.77	Professional		$5,275.21	$5,275.21	$6,857.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $7,450.04	Facility		$4,483.93	$4,483.93	$7,450.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,220.54 / $11,487.38 / $11,487.38	Professional		$10,220.54	$11,487.38	$11,487.38