Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.08 / $1,269.90 / $1,269.90	Professional		$1,225.08	$1,269.90	$1,269.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $60.00 / $3,000.00	Professional		$45.60	$60.00	$3,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,494.00	Professional		$1,269.90	$1,269.90	$1,494.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,521.90 / $1,643.40	Facility		$1,269.90	$1,521.90	$1,643.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,521.90 / $1,521.90 / $1,521.90	Professional		$1,521.90	$1,521.90	$1,521.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,618.50	Professional		$1,245.00	$1,245.00	$1,618.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $2,241.00 / $2,988.00	Facility		$1,602.00	$2,241.00	$2,988.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,677.20 / $5,677.20 / $6,723.00	Professional		$5,677.20	$5,677.20	$6,723.00