Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.81 / $3,707.00 / $7,439.00	Facility		$192.81	$3,707.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.81 / $192.81 / $194.63	Professional		$192.81	$192.81	$194.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.37 / $369.39 / $508.32	Professional		$231.37	$369.39	$508.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $197.39 / $356.70	Facility		$163.89	$197.39	$356.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.39 / $197.39 / $197.39	Professional		$197.39	$197.39	$197.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $287.36 / $552.69	Professional		$199.02	$287.36	$552.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,394.88 / $8,528.29 / $8,528.29	Facility		$1,394.88	$8,528.29	$8,528.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,788.72 / $2,003.70 / $2,003.70	Professional		$1,788.72	$2,003.70	$2,003.70