Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.27 / $1,187.83 / $1,187.83	Facility		$194.27	$1,187.83	$1,187.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $1,170.46 / $1,187.83	Professional		$712.20	$1,170.46	$1,187.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.99 / $251.53 / $309.76	Facility		$216.99	$251.53	$309.76
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 $123.50 / $936.57 / $936.57	Facility		$123.50	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $1,492.50	Professional		$796.08	$796.08	$1,492.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $1,149.44 / $1,425.41	Facility		$202.86	$1,149.44	$1,425.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $2,150.00 / $2,150.00	Professional		$251.00	$2,150.00	$2,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $123.33 / $920.51	Professional		$65.16	$123.33	$920.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,840.95 / $6,840.95	Facility		$100.00	$6,840.95	$6,840.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,403.49 / $6,403.49 / $10,548.23	Professional		$6,403.49	$6,403.49	$10,548.23