Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $1,781.31 / $1,781.31	Professional		$49.76	$1,781.31	$1,781.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $841.66 / $1,052.08 / $1,367.70	Facility		$841.66	$1,052.08	$1,367.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,137.90 / $1,137.90 / $1,463.01	Professional		$1,137.90	$1,137.90	$1,463.01