Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,405.85 / $15,291.00	Facility		$1,615.00	$4,405.85	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.92 / $1,620.44 / $1,899.54	Professional		$1,187.92	$1,620.44	$1,899.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.89 / $3,610.99 / $5,704.34	Professional		$1,737.89	$3,610.99	$5,704.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,364.30 / $1,927.25 / $1,927.25	Facility		$1,364.30	$1,927.25	$1,927.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,927.25 / $1,927.25 / $1,927.25	Professional		$1,927.25	$1,927.25	$1,927.25
United Facility/Professional Facility Modifier Low / Median / High Price $22,810.00 / $42,428.00 / $93,042.00	Facility		$22,810.00	$42,428.00	$93,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.10 / $2,066.27 / $3,912.39	Professional		$1,564.10	$2,066.27	$3,912.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,705.96 / $11,705.96 / $23,788.45	Facility		$11,705.96	$11,705.96	$23,788.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,866.32 / $15,418.28 / $15,418.28	Professional		$12,866.32	$15,418.28	$15,418.28