Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.81 / $3,670.53 / $7,362.00	Facility		$192.81	$3,670.53	$7,362.00
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 / $294.08 / $591.66	Professional		$199.02	$294.08	$591.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,173.20 / $8,176.60 / $8,176.60	Facility		$1,173.20	$8,176.60	$8,176.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,804.96 / $2,016.00 / $2,016.00	Professional		$1,804.96	$2,016.00	$2,016.00