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 / $136.69 / $136.69	Facility		$136.69	$136.69	$136.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $2,047.50	Professional		$93.11	$109.54	$2,047.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $1,051.11 / $1,232.94	Facility		$107.39	$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 / $749.78	Professional		$59.06	$74.86	$749.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,074.00	Facility		$100.00	$100.00	$2,074.00