Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.17 / $2,536.00 / $15,291.00	Facility		$929.17	$2,536.00	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.36 / $929.17 / $1,141.25	Professional		$769.36	$929.17	$1,141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.37 / $2,126.26 / $3,024.06	Professional		$1,385.37	$2,126.26	$3,024.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $772.91 / $989.55 / $1,830.67	Facility		$772.91	$989.55	$1,830.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $989.55 / $989.55 / $989.55	Professional		$989.55	$989.55	$989.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.70 / $1,714.46 / $2,896.00	Professional		$981.70	$1,714.46	$2,896.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,405.12 / $14,915.20 / $14,915.20	Facility		$5,405.12	$14,915.20	$14,915.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,428.16 / $8,492.85 / $8,492.85	Professional		$6,428.16	$8,492.85	$8,492.85