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 / $3,810.33	Facility		$318.75	$1,020.00	$3,810.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $425.00	Professional		$318.75	$318.75	$425.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.60 / $537.60 / $537.60	Professional		$537.60	$537.60	$537.60
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 / $1,379.52 / $1,379.52	Facility		$672.20	$1,379.52	$1,379.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $430.31	Facility		$318.75	$318.75	$430.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00