Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $3,111.02 / $3,830.87	Facility		$114.26	$3,111.02	$3,830.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $114.26 / $792.00	Professional		$104.34	$114.26	$792.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $244.60 / $383.03	Professional		$160.03	$244.60	$383.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $111.55 / $194.24	Facility		$97.12	$111.55	$194.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $111.55 / $111.55	Professional		$111.55	$111.55	$111.55
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $222.89 / $420.53	Professional		$159.21	$222.89	$420.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $163.36 / $538.89	Facility		$163.36	$163.36	$538.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $746.58 / $824.48 / $824.48	Professional		$746.58	$824.48	$824.48