Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $5,074.53 / $5,449.00	Facility		$292.83	$5,074.53	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $292.83 / $349.94	Professional		$167.49	$292.83	$349.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $230.97 / $439.94	Professional		$174.19	$230.97	$439.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $198.98 / $351.41	Facility		$151.47	$198.98	$351.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $151.47 / $151.47	Professional		$151.47	$151.47	$151.47
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $267.89 / $621.52	Professional		$152.05	$267.89	$621.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,194.32 / $1,194.32 / $1,862.05	Facility		$1,194.32	$1,194.32	$1,862.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,297.92 / $2,297.92 / $2,462.85	Professional		$2,297.92	$2,297.92	$2,462.85