Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.85 / $2,292.80 / $6,080.20	Facility		$1,793.85	$2,292.80	$6,080.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.85 / $2,016.42 / $2,395.58	Professional		$1,793.85	$2,016.42	$2,395.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,200.31 / $3,235.20 / $4,070.57	Facility		$2,200.31	$3,235.20	$4,070.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.56 / $1,630.56 / $2,088.42	Professional		$1,630.56	$1,630.56	$2,088.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,540.81	Professional		$2,016.42	$2,016.42	$2,540.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,793.85 / $2,399.54 / $2,794.89	Facility		$1,793.85	$2,399.54	$2,794.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,674.80 / $1,674.80 / $1,674.80	Professional		$1,674.80	$1,674.80	$1,674.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,621.35	Professional		$2,016.42	$2,016.42	$2,621.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,682.21 / $2,688.77 / $10,082.10	Facility		$2,682.21	$2,688.77	$10,082.10