Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,837.73 / $3,733.85 / $3,733.85	Professional		$2,837.73	$3,733.85	$3,733.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $223.29	Professional		$163.00	$163.00	$223.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $1,191.00	Facility		$140.00	$140.00	$1,191.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $1,191.00 / $1,191.00	Professional		$270.00	$1,191.00	$1,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $170.65 / $284.41	Professional		$142.21	$170.65	$284.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $285.00 / $285.00	Facility		$100.00	$285.00	$285.00