Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.37 / $1,615.00 / $8,413.00	Facility		$199.37	$1,615.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $199.37 / $228.02	Professional		$119.12	$199.37	$228.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $268.36 / $589.58	Professional		$100.00	$268.36	$589.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.81 / $194.60 / $219.31	Facility		$158.81	$194.60	$219.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $194.60 / $194.60	Professional		$194.60	$194.60	$194.60
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $243.39 / $491.98	Professional		$204.89	$243.39	$491.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $412.65 / $826.41	Facility		$367.29	$412.65	$826.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,332.23 / $1,332.23	Professional		$1,302.63	$1,332.23	$1,332.23