Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.21 / $318.04 / $7,439.00	Facility		$162.21	$318.04	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $162.21 / $163.15	Professional		$160.22	$162.21	$163.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $267.20 / $386.18	Professional		$75.00	$267.20	$386.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $154.72 / $275.76	Facility		$135.97	$154.72	$275.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $139.13	Professional		$139.13	$139.13	$139.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $201.05 / $433.34	Professional		$142.46	$201.05	$433.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $366.03 / $14,266.70 / $14,266.70	Facility		$366.03	$14,266.70	$14,266.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,166.48 / $1,397.40 / $1,397.40	Professional		$1,166.48	$1,397.40	$1,397.40