Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $927.12 / $927.12	Facility		$168.42	$927.12	$927.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $896.80 / $927.12	Professional		$492.35	$896.80	$927.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $208.62 / $241.78	Facility		$183.61	$208.62	$241.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Professional		$70.00	$70.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $79.45 / $1,017.80	Facility		$64.00	$79.45	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $4,256.35	Professional		$750.60	$750.60	$4,256.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $841.50 / $1,112.54	Facility		$168.42	$841.50	$1,112.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,750.00 / $1,880.00	Professional		$841.50	$1,750.00	$1,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $103.90 / $208.85	Professional		$50.71	$103.90	$208.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,754.28 / $4,782.72 / $5,008.26	Facility		$1,754.28	$4,782.72	$5,008.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,687.97 / $4,687.97 / $7,722.38	Professional		$4,687.97	$4,687.97	$7,722.38