Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $63.85 / $114.31	Facility		$63.85	$63.85	$114.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $63.85 / $64.37	Professional		$58.11	$63.85	$64.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $76.77 / $92.12	Professional		$61.42	$76.77	$92.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $54.27 / $108.55	Facility		$51.11	$54.27	$108.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $51.11 / $51.11	Professional		$51.11	$51.11	$51.11
United Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $73.95 / $166.87	Professional		$51.18	$73.95	$166.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $191.93 / $384.94	Facility		$170.83	$191.93	$384.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $534.55 / $620.54 / $620.54	Professional		$534.55	$620.54	$620.54