Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.36 / $245.36 / $245.36	Facility		$245.36	$245.36	$245.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.36 / $245.36 / $245.36	Professional		$245.36	$245.36	$245.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $230.86 / $297.88	Professional		$155.61	$230.86	$297.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $292.69	Facility		$107.32	$107.32	$292.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $107.32 / $107.32	Professional		$107.32	$107.32	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $172.72 / $499.46	Professional		$113.63	$172.72	$499.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,664.30 / $1,664.30 / $10,710.95	Facility		$1,664.30	$1,664.30	$10,710.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,328.36 / $1,394.85 / $1,394.85	Professional		$1,328.36	$1,394.85	$1,394.85