Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.62 / $6,953.60 / $15,291.00	Facility		$384.62	$6,953.60	$15,291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.52 / $384.62 / $384.62	Professional		$367.52	$384.62	$384.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $634.62 / $984.81	Professional		$75.00	$634.62	$984.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.94 / $373.99 / $653.85	Facility		$319.94	$373.99	$653.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $373.99 / $373.99 / $373.99	Professional		$373.99	$373.99	$373.99
United Facility/Professional Facility Modifier Low / Median / High Price $22,810.00 / $42,428.00 / $93,042.00	Facility		$22,810.00	$42,428.00	$93,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.28 / $618.74 / $1,080.89	Professional		$395.28	$618.74	$1,080.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,364.12 / $1,364.12 / $106,712.10	Facility		$1,364.12	$1,364.12	$106,712.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,624.08 / $3,143.33 / $3,143.33	Professional		$2,624.08	$3,143.33	$3,143.33