Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.74 / $3,545.89 / $5,943.75	Facility		$1,926.74	$3,545.89	$5,943.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.74 / $2,116.32 / $2,561.23	Professional		$1,926.74	$2,116.32	$2,561.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,433.81 / $3,448.96 / $4,306.22	Facility		$2,433.81	$3,448.96	$4,306.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,643.23 / $1,643.23 / $2,173.05	Professional		$1,643.23	$1,643.23	$2,173.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Facility		$2,116.32	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,426.55	Professional		$2,116.32	$2,116.32	$2,426.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,926.74 / $2,518.42 / $2,669.21	Facility		$1,926.74	$2,518.42	$2,669.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,063.86 / $1,063.86 / $1,063.86	Professional		$1,063.86	$1,063.86	$1,063.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,793.54	Professional		$2,116.32	$2,116.32	$2,793.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,815.11 / $2,815.11 / $10,581.60	Facility		$2,815.11	$2,815.11	$10,581.60