Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,198.94 / $1,198.94	Facility		$1,007.42	$1,198.94	$1,198.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $983.72 / $1,198.94	Professional		$983.72	$983.72	$1,198.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,078.01 / $3,078.01 / $3,078.01	Facility		$3,078.01	$3,078.01	$3,078.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.56 / $1,076.56 / $1,076.56	Professional		$1,076.56	$1,076.56	$1,076.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,185.20	Professional		$1,046.93	$1,046.93	$1,185.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,303.72 / $1,303.72 / $1,303.72	Facility		$1,303.72	$1,303.72	$1,303.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,046.75 / $1,046.75 / $1,046.75	Professional		$1,046.75	$1,046.75	$1,046.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,540.76	Professional		$1,185.20	$1,185.20	$1,540.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $1,690.00 / $5,234.64	Facility		$1,690.00	$1,690.00	$5,234.64