Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $794.33 / $794.33	Facility		$218.78	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $954.99	Professional		$794.33	$870.96	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $138.04	Professional		$123.03	$128.82	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,174.90	Facility		$676.08	$870.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,318.26	Facility		$707.95	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,148.15	Professional		$891.25	$891.25	$1,148.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30