Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.05 / $1,092.83 / $1,364.63	Facility		$553.05	$1,092.83	$1,364.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $1,092.83	Professional		$1,028.55	$1,092.83	$1,092.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.55 / $2,324.96 / $3,122.09	Facility		$1,328.55	$2,324.96	$3,122.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.19 / $1,328.55 / $1,461.41	Professional		$1,109.19	$1,328.55	$1,461.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,285.69	Professional		$1,092.83	$1,092.83	$1,285.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $899.98 / $1,414.26	Facility		$340.11	$899.98	$1,414.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $421.00 / $1,588.67	Professional		$340.11	$421.00	$1,588.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,285.69	Professional		$1,071.41	$1,135.69	$1,285.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,244.38 / $1,586.26 / $5,678.45	Facility		$1,244.38	$1,586.26	$5,678.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,885.62 / $4,885.62 / $5,785.61	Professional		$4,885.62	$4,885.62	$5,785.61