Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,804.00 / $1,870.00 / $1,870.00	Professional		$1,804.00	$1,870.00	$1,870.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.46 / $1,192.46 / $1,192.46	Professional		$1,192.46	$1,192.46	$1,192.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $2,228.94 / $2,420.00	Facility		$1,870.00	$2,228.94	$2,420.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,228.94 / $2,228.94 / $2,228.94	Professional		$2,228.94	$2,228.94	$2,228.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,860.00	Professional		$2,200.00	$2,200.00	$2,860.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,346.25 / $3,300.00 / $4,400.00	Facility		$2,346.25	$3,300.00	$4,400.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,360.00 / $8,360.00 / $9,900.00	Professional		$8,360.00	$8,360.00	$9,900.00