Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,710.29 / $7,439.00	Facility		$1,245.00	$1,710.29	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.08 / $1,710.29 / $1,710.29	Professional		$1,622.08	$1,710.29	$1,710.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,139.28 / $3,512.40 / $3,933.51	Professional		$2,139.28	$3,512.40	$3,933.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.18 / $1,453.75 / $2,907.49	Facility		$1,380.18	$1,453.75	$2,907.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.18 / $1,380.18 / $1,380.18	Professional		$1,380.18	$1,380.18	$1,380.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.37 / $2,068.81 / $4,505.57	Professional		$1,423.37	$2,068.81	$4,505.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28,911.20 / $28,911.20 / $33,392.64	Facility		$28,911.20	$28,911.20	$33,392.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $13,121.44 / $15,720.83 / $15,720.83	Professional		$13,121.44	$15,720.83	$15,720.83