Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $6,953.60 / $10,561.00	Facility		$236.92	$6,953.60	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $236.92 / $338.63	Professional		$48.41	$236.92	$338.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $84.60 / $151.40	Professional		$65.26	$84.60	$151.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.10 / $284.30 / $402.76	Facility		$128.10	$284.30	$402.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $313.64 / $313.64	Professional		$313.64	$313.64	$313.64
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $76.02 / $401.47	Professional		$49.51	$76.02	$401.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,743.70 / $1,743.70 / $24,767.20	Facility		$1,743.70	$1,743.70	$24,767.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,682.56 / $3,214.88 / $3,214.88	Professional		$2,682.56	$3,214.88	$3,214.88