Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.77 / $1,635.00 / $10,561.00	Facility		$473.77	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $473.77 / $473.77	Professional		$452.00	$473.77	$473.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.18 / $1,100.32 / $1,480.86	Professional		$713.18	$1,100.32	$1,480.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $394.08 / $491.16 / $805.41	Facility		$394.08	$491.16	$805.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $491.16 / $491.16 / $491.16	Professional		$491.16	$491.16	$491.16
United Facility/Professional Facility Modifier Low / Median / High Price $22,810.00 / $42,428.00 / $93,042.00	Facility		$22,810.00	$42,428.00	$93,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.14 / $722.57 / $1,330.99	Professional		$489.14	$722.57	$1,330.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,394.10 / $2,394.10 / $87,953.00	Facility		$2,394.10	$2,394.10	$87,953.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $4,413.83 / $4,413.83	Professional		$3,683.44	$4,413.83	$4,413.83