Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.32 / $640.32 / $640.32	Facility		$640.32	$640.32	$640.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $640.32 / $640.32	Professional		$398.54	$640.32	$640.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $83.28 / $83.28	Facility		$83.28	$83.28	$83.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $1,335.94	Professional		$65.25	$643.37	$1,335.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $640.32 / $768.38	Facility		$88.78	$640.32	$768.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $577.39 / $577.39 / $577.39	Professional		$577.39	$577.39	$577.39
United Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $361.28 / $577.05	Professional		$265.58	$361.28	$577.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,135.36 / $4,292.81 / $4,292.81	Facility		$1,135.36	$4,292.81	$4,292.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,018.27 / $6,619.13 / $6,619.13	Professional		$4,018.27	$6,619.13	$6,619.13