Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $49.09 / $50.59	Professional		$49.09	$49.09	$50.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $83.70 / $165.22	Professional		$58.91	$83.70	$165.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $47.63 / $83.45	Facility		$40.36	$47.63	$83.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $47.63	Professional		$47.63	$47.63	$47.63
United Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $75.34 / $167.90	Professional		$51.13	$75.34	$167.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $153.18 / $230.18	Facility		$136.34	$153.18	$230.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $320.63 / $320.63	Professional		$320.63	$320.63	$320.63