Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.65 / $1,635.00 / $10,561.00	Facility		$333.65	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.95 / $333.65 / $333.65	Professional		$317.95	$333.65	$333.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.54 / $719.79 / $968.72	Professional		$466.54	$719.79	$968.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.56 / $321.30 / $567.21	Facility		$277.56	$321.30	$567.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $321.30 / $321.30	Professional		$321.30	$321.30	$321.30
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $504.23 / $948.08	Professional		$321.75	$504.23	$948.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,683.75 / $1,683.75 / $41,872.44	Facility		$1,683.75	$1,683.75	$41,872.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,590.40 / $3,104.25 / $3,104.25	Professional		$2,590.40	$3,104.25	$3,104.25