Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.17 / $2,279.17 / $13,142.00	Facility		$2,279.17	$2,279.17	$13,142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,279.17 / $2,279.17 / $4,348.67	Professional		$2,279.17	$2,279.17	$4,348.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,721.80 / $3,885.14 / $6,230.22	Professional		$1,721.80	$3,885.14	$6,230.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $3,158.15 / $28,053.00	Facility		$3,158.15	$3,158.15	$28,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,011.13 / $2,160.17 / $3,874.59	Facility		$2,011.13	$2,160.17	$3,874.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,011.13 / $2,011.13 / $2,011.13	Professional		$2,011.13	$2,011.13	$2,011.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $9,541.00 / $14,589.00	Facility		$2,629.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.61 / $3,174.14 / $5,995.47	Professional		$1,390.61	$3,174.14	$5,995.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,455.63 / $5,455.63 / $17,849.98	Facility		$5,455.63	$5,455.63	$17,849.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,830.00 / $24,015.68 / $24,015.68	Professional		$16,830.00	$24,015.68	$24,015.68