Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.28 / $621.28 / $621.28	Facility		$621.28	$621.28	$621.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.07 / $621.28 / $621.28	Professional		$488.07	$621.28	$621.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $125.41 / $162.02	Facility		$104.51	$125.41	$162.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.00 / $545.00 / $545.00	Facility		$481.00	$545.00	$545.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $545.00 / $866.25	Professional		$66.06	$545.00	$866.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $621.28 / $683.41	Facility		$103.92	$621.28	$683.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,533.00 / $1,533.00 / $1,533.00	Professional		$1,533.00	$1,533.00	$1,533.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $504.86 / $832.08	Professional		$374.44	$504.86	$832.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,402.28 / $3,856.19 / $3,856.19	Facility		$1,402.28	$3,856.19	$3,856.19