Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.25 / $1,635.00 / $10,561.00	Facility		$513.25	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.75 / $513.25 / $513.25	Professional		$488.75	$513.25	$513.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.91 / $1,126.40 / $1,515.97	Professional		$704.91	$1,126.40	$1,515.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $502.80 / $872.53	Facility		$426.92	$502.80	$872.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $502.80 / $502.80 / $502.80	Professional		$502.80	$502.80	$502.80
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 $503.51 / $694.84 / $1,376.71	Professional		$503.51	$694.84	$1,376.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,186.40 / $2,186.40 / $87,953.00	Facility		$2,186.40	$2,186.40	$87,953.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,364.64 / $4,030.50 / $4,030.50	Professional		$3,364.64	$4,030.50	$4,030.50