Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,092.44 / $3,756.91 / $4,376.51	Facility		$3,092.44	$3,756.91	$4,376.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,092.44 / $3,092.44 / $4,565.14	Professional		$3,092.44	$3,092.44	$4,565.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,783.68 / $6,719.94 / $9,869.91	Facility		$4,783.68	$6,719.94	$9,869.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,986.40 / $3,986.40 / $3,986.40	Professional		$3,986.40	$3,986.40	$3,986.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Facility		$3,817.28	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,459.53	Professional		$3,817.28	$3,817.28	$4,459.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,092.44 / $4,542.56 / $4,905.47	Facility		$3,092.44	$4,542.56	$4,905.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $3,116.00	Professional		$3,116.00	$3,116.00	$3,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $5,916.78	Professional		$3,817.28	$4,046.32	$5,916.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,077.71 / $5,077.71 / $19,086.40	Facility		$5,077.71	$5,077.71	$19,086.40