Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $62.54 / $62.54	Facility		$62.54	$62.54	$62.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $62.54 / $65.31	Professional		$62.54	$62.54	$65.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $128.11 / $160.26	Professional		$88.42	$128.11	$160.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $63.92 / $106.32	Facility		$51.45	$63.92	$106.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
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 $55.59 / $76.26 / $183.91	Professional		$55.59	$76.26	$183.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $604.88 / $604.88 / $755.84	Facility		$604.88	$604.88	$755.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $597.44 / $659.93 / $659.93	Professional		$597.44	$659.93	$659.93