Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.12 / $927.12 / $1,002.00	Facility		$927.12	$927.12	$1,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.15 / $927.12 / $927.12	Professional		$549.15	$927.12	$927.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.33 / $208.62 / $241.78	Facility		$196.33	$208.62	$241.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $392.70 / $392.70	Professional		$70.00	$392.70	$392.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.59 / $1,045.06	Facility		$67.59	$67.59	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $4,077.00	Professional		$24.99	$24.99	$4,077.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.40 / $841.50 / $1,112.54	Facility		$198.40	$841.50	$1,112.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $2,200.00 / $2,200.00	Professional		$220.00	$2,200.00	$2,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $80.83 / $176.06	Professional		$50.71	$80.83	$176.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,296.18 / $1,538.19	Facility		$100.00	$1,296.18	$1,538.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $2,421.00 / $2,421.00	Professional		$2,421.00	$2,421.00	$2,421.00