Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,741.83 / $7,439.00	Facility		$1,245.00	$1,741.83	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.13 / $1,741.83 / $1,741.83	Professional		$1,578.13	$1,741.83	$1,741.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,807.18 / $4,383.80 / $5,899.93	Professional		$2,807.18	$4,383.80	$5,899.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,474.98 / $1,956.84 / $2,961.11	Facility		$1,474.98	$1,956.84	$2,961.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,956.84 / $1,956.84 / $1,956.84	Professional		$1,956.84	$1,956.84	$1,956.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,948.14 / $2,988.37 / $5,358.57	Professional		$1,948.14	$2,988.37	$5,358.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22,859.52 / $22,859.52 / $27,974.72	Facility		$22,859.52	$22,859.52	$27,974.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,110.48 / $13,172.78 / $13,172.78	Professional		$11,110.48	$13,172.78	$13,172.78