Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.11 / $1,051.11 / $1,051.11	Facility		$1,051.11	$1,051.11	$1,051.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.35 / $1,051.11 / $1,051.11	Professional		$631.35	$1,051.11	$1,051.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $222.58 / $274.11	Facility		$136.69	$222.58	$274.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $2,047.50	Professional		$84.85	$99.82	$2,047.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $1,051.11 / $1,232.94	Facility		$113.00	$1,051.11	$1,232.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $970.00 / $970.00	Professional		$113.00	$970.00	$970.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $74.86 / $732.94	Professional		$59.06	$74.86	$732.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,074.00	Facility		$100.00	$100.00	$2,074.00