Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.69 / $1,375.15 / $1,375.15	Facility		$725.69	$1,375.15	$1,375.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.79 / $1,375.15 / $1,375.15	Professional		$1,342.79	$1,375.15	$1,375.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.14 / $1,690.90 / $1,785.77	Facility		$1,488.14	$1,690.90	$1,785.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.49 / $1,204.49 / $1,204.49	Professional		$1,204.49	$1,204.49	$1,204.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,617.82	Professional		$1,429.07	$1,429.07	$1,617.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $756.42 / $1,375.15 / $1,457.66	Facility		$756.42	$1,375.15	$1,457.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $463.45 / $463.45 / $463.45	Professional		$463.45	$463.45	$463.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,805.22	Professional		$1,388.63	$1,388.63	$1,805.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,485.60 / $1,964.94 / $6,076.00	Facility		$1,485.60	$1,964.94	$6,076.00