Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.42 / $1,245.00 / $7,439.00	Facility		$910.42	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.92 / $910.42 / $917.81	Professional		$872.92	$910.42	$917.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.20 / $2,027.14 / $2,715.74	Professional		$1,087.20	$2,027.14	$2,715.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $872.92 / $899.55 / $1,446.04	Facility		$872.92	$899.55	$1,446.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.55 / $899.55 / $899.55	Professional		$899.55	$899.55	$899.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $10,968.00 / $17,964.00	Facility		$5,293.00	$10,968.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.53 / $1,189.96 / $2,938.72	Professional		$863.53	$1,189.96	$2,938.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,716.26 / $16,743.30 / $16,743.30	Facility		$5,716.26	$16,743.30	$16,743.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,329.36 / $8,781.98 / $8,781.98	Professional		$7,329.36	$8,781.98	$8,781.98