Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.80 / $1,178.80 / $1,178.80	Facility		$1,178.80	$1,178.80	$1,178.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $1,178.80 / $1,178.80	Professional		$699.65	$1,178.80	$1,178.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $203.64 / $307.41	Facility		$169.70	$203.64	$307.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $989.22 / $989.22	Facility		$806.00	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $1,807.50	Professional		$751.21	$989.22	$1,807.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $1,178.80 / $1,274.31	Facility		$175.75	$1,178.80	$1,274.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,150.00	Professional		$1,150.00	$1,150.00	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.42 / $729.40 / $1,201.83	Professional		$539.42	$729.40	$1,201.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,958.73 / $8,842.45 / $8,842.45	Facility		$1,958.73	$8,842.45	$8,842.45