Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.25 / $387.25 / $7,968.00	Facility		$387.25	$387.25	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $387.25 / $673.77	Professional		$275.14	$387.25	$673.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,169.46 / $2,017.48	Professional		$100.00	$1,169.46	$2,017.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.44 / $329.16 / $770.48	Facility		$241.44	$329.16	$770.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $241.44 / $241.44	Professional		$241.44	$241.44	$241.44
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 $649.23 / $792.45 / $1,676.33	Professional		$649.23	$792.45	$1,676.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $561.36 / $14,266.70 / $14,266.70	Facility		$561.36	$14,266.70	$14,266.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,470.02 / $2,470.02 / $2,470.02	Professional		$2,470.02	$2,470.02	$2,470.02