Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.22 / $1,338.00 / $8,413.00	Facility		$364.22	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $364.22 / $376.49	Professional		$258.42	$364.22	$376.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.81 / $801.08 / $1,321.78	Professional		$410.81	$801.08	$1,321.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.06 / $357.88 / $437.06	Facility		$349.06	$357.88	$437.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $357.88 / $357.88	Professional		$357.88	$357.88	$357.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $11,617.00 / $17,964.00	Facility		$5,293.00	$11,617.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $409.79 / $897.44	Professional		$246.90	$409.79	$897.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,871.04 / $1,871.04 / $13,878.45	Facility		$1,871.04	$1,871.04	$13,878.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.71 / $3,127.05 / $3,127.05	Professional		$2,398.71	$3,127.05	$3,127.05