Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,577.20 / $4,556.00 / $4,556.00	Facility		$3,577.20	$4,556.00	$4,556.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,731.19 / $4,556.00 / $4,556.00	Professional		$2,731.19	$4,556.00	$4,556.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.74 / $828.89 / $1,188.11	Facility		$690.74	$828.89	$1,188.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $403.00 / $403.00	Facility		$200.00	$403.00	$403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $8,118.75	Professional		$200.00	$3,344.98	$8,118.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $715.44 / $4,556.00 / $5,095.34	Facility		$715.44	$4,556.00	$5,095.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,095.34 / $5,095.34 / $5,095.34	Professional		$5,095.34	$5,095.34	$5,095.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,173.32 / $2,836.79 / $4,725.34	Professional		$2,173.32	$2,836.79	$4,725.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,876.28 / $22,318.92 / $22,318.92	Facility		$7,876.28	$22,318.92	$22,318.92