Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,811.95 / $2,811.95 / $13,142.00	Facility		$2,811.95	$2,811.95	$13,142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,811.95 / $2,811.95 / $6,893.03	Professional		$2,811.95	$2,811.95	$6,893.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,721.80 / $5,287.43 / $8,478.92	Professional		$1,721.80	$5,287.43	$8,478.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.88 / $3,825.88 / $28,053.00	Facility		$3,825.88	$3,825.88	$28,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,532.87 / $2,720.59 / $4,780.32	Facility		$2,532.87	$2,720.59	$4,780.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,532.87 / $2,532.87 / $2,532.87	Professional		$2,532.87	$2,532.87	$2,532.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.61 / $4,675.02 / $8,159.43	Professional		$1,390.61	$4,675.02	$8,159.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,585.96 / $6,585.96 / $21,548.42	Facility		$6,585.96	$6,585.96	$21,548.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,170.37 / $28,991.33 / $28,991.33	Professional		$20,170.37	$28,991.33	$28,991.33