Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.49 / $318.49 / $7,968.00	Facility		$318.49	$318.49	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $318.49 / $320.98	Professional		$314.61	$318.49	$320.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $644.94 / $874.80	Professional		$382.19	$644.94	$874.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.72 / $309.14 / $589.21	Facility		$270.72	$309.14	$589.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $309.14 / $309.14	Professional		$309.14	$309.14	$309.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.26 / $474.05 / $904.65	Professional		$328.26	$474.05	$904.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $718.79 / $1,597.81 / $1,597.81	Facility		$718.79	$1,597.81	$1,597.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,290.40 / $2,743.73 / $2,743.73	Professional		$2,290.40	$2,743.73	$2,743.73