Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $615.26 / $615.26	Professional		$593.54	$615.26	$615.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.76 / $60.00	Professional		$45.60	$49.76	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.69 / $615.26 / $796.22	Facility		$506.69	$615.26	$796.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $506.69	Professional		$506.69	$506.69	$506.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,194.96 / $1,194.96 / $1,194.96	Facility		$1,194.96	$1,194.96	$1,194.96
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $940.99	Professional		$723.84	$723.84	$940.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $1,085.76 / $1,447.68	Facility		$723.84	$1,085.76	$1,447.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,750.59 / $2,750.59 / $3,257.28	Professional		$2,750.59	$2,750.59	$3,257.28