Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $109.38 / $109.38	Facility		$105.39	$109.38	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $109.38 / $135.34	Professional		$59.28	$109.38	$135.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $91.66 / $145.72	Professional		$58.38	$91.66	$145.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $70.70 / $129.02	Facility		$46.06	$70.70	$129.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $46.06 / $46.06	Professional		$46.06	$46.06	$46.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $86.71 / $250.68	Professional		$26.25	$86.71	$250.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $133.00 / $332.55	Facility		$133.00	$133.00	$332.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,033.75 / $1,033.75 / $1,033.75	Professional		$1,033.75	$1,033.75	$1,033.75