Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $1,635.00 / $10,561.00	Facility		$233.30	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $233.30 / $233.30	Professional		$222.48	$233.30	$233.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.34 / $512.74 / $690.08	Professional		$332.34	$512.74	$690.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $228.88 / $396.61	Facility		$194.08	$228.88	$396.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $228.88 / $228.88	Professional		$228.88	$228.88	$228.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $328.34 / $635.01	Professional		$227.94	$328.34	$635.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,148.55 / $1,148.55 / $10,168.04	Facility		$1,148.55	$1,148.55	$10,168.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,767.60 / $2,117.17 / $2,117.17	Professional		$1,767.60	$2,117.17	$2,117.17