Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,020.00 / $2,920.00	Facility		$318.75	$1,020.00	$2,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.10 / $1,971.73 / $2,428.23	Facility		$1,559.10	$1,971.73	$2,428.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.20 / $1,236.33 / $1,236.33	Facility		$672.20	$1,236.33	$1,236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $430.31	Facility		$318.75	$318.75	$430.31
United Facility/Professional Facility Modifier Low / Median / High Price $786.50 / $786.50 / $786.50	Facility		$786.50	$786.50	$786.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00