Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $4,249.68 / $8,413.00	Facility		$1,245.00	$4,249.68	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.70 / $1,376.28 / $1,841.92	Professional		$1,128.70	$1,376.28	$1,841.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,514.34 / $4,047.92 / $5,713.78	Professional		$2,514.34	$4,047.92	$5,713.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,169.83 / $1,895.11 / $2,389.35	Facility		$1,169.83	$1,895.11	$2,389.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,895.11 / $1,895.11 / $1,895.11	Professional		$1,895.11	$1,895.11	$1,895.11
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 $1,884.53 / $2,976.98 / $5,135.51	Professional		$1,884.53	$2,976.98	$5,135.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,944.98 / $8,944.98 / $12,054.10	Facility		$8,944.98	$8,944.98	$12,054.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,470.88 / $13,745.40 / $13,745.40	Professional		$11,470.88	$13,745.40	$13,745.40