Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $2,112.02 / $7,439.00	Facility		$1,245.00	$2,112.02	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.72 / $2,112.02 / $2,112.02	Professional		$1,875.72	$2,112.02	$2,112.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,704.92 / $2,934.10 / $3,964.21	Professional		$1,704.92	$2,934.10	$3,964.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,275.77 / $1,720.71 / $3,590.43	Facility		$1,275.77	$1,720.71	$3,590.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.77 / $1,275.77 / $1,275.77	Professional		$1,275.77	$1,275.77	$1,275.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.53 / $1,541.71 / $3,838.38	Professional		$1,074.53	$1,541.71	$3,838.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $52,874.92 / $52,874.92 / $64,704.92	Facility		$52,874.92	$52,874.92	$64,704.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $58,116.32 / $69,636.98 / $69,636.98	Professional		$58,116.32	$69,636.98	$69,636.98