Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,105.00	Facility		$1,105.00	$1,105.00	$1,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,105.00 / $1,105.00	Professional		$1,079.00	$1,105.00	$1,105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.63 / $871.63 / $1,162.17	Professional		$871.63	$871.63	$1,162.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $790.30 / $1,235.00 / $1,685.15	Facility		$790.30	$1,235.00	$1,685.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Professional		$1,235.00	$1,235.00	$1,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,630.20	Professional		$1,235.00	$1,235.00	$1,630.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,493.27 / $2,493.27 / $7,117.97	Facility		$2,493.27	$2,493.27	$7,117.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,425.58 / $10,975.35 / $10,975.35	Professional		$7,425.58	$10,975.35	$10,975.35