Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $265.52 / $354.04	Professional		$265.52	$265.52	$354.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $4,500.00	Professional		$3,825.00	$3,825.00	$4,500.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.53 / $963.42 / $4,054.50	Facility		$396.53	$963.42	$4,054.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $396.53 / $396.53 / $396.53	Professional		$396.53	$396.53	$396.53
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,950.00	Professional		$3,750.00	$3,750.00	$4,950.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,275.00 / $4,275.00 / $20,731.70	Facility		$4,275.00	$4,275.00	$20,731.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $17,100.00 / $17,100.00 / $20,250.00	Professional		$17,100.00	$17,100.00	$20,250.00