Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.54 / $4,376.00 / $7,439.00	Facility		$163.54	$4,376.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $163.54 / $219.99	Professional		$163.54	$163.54	$219.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $319.98 / $431.16	Professional		$196.25	$319.98	$431.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $170.54 / $302.55	Facility		$139.01	$170.54	$302.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Professional		$170.54	$170.54	$170.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,876.42 / $12,081.00 / $19,066.00	Facility		$4,876.42	$12,081.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $257.56 / $556.39	Professional		$167.39	$257.56	$556.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,394.88 / $26,242.40 / $26,242.40	Facility		$1,394.88	$26,242.40	$26,242.40
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