Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.42 / $4,376.00 / $7,593.00	Facility		$373.42	$4,376.00	$7,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $373.42 / $419.99	Professional		$330.52	$373.42	$419.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $759.85 / $1,195.11	Professional		$75.00	$759.85	$1,195.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.41 / $362.85 / $634.80	Facility		$317.41	$362.85	$634.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $362.85 / $362.85	Professional		$362.85	$362.85	$362.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.79 / $668.47 / $1,143.85	Professional		$433.79	$668.47	$1,143.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,295.32 / $1,295.32 / $5,564.75	Facility		$1,295.32	$1,295.32	$5,564.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,490.88 / $2,985.38 / $2,985.38	Professional		$2,490.88	$2,985.38	$2,985.38