Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $52.06 / $52.06	Facility		$52.06	$52.06	$52.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $52.06 / $116.89	Professional		$41.52	$52.06	$116.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $166.33 / $361.14	Professional		$74.79	$166.33	$361.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $43.45 / $65.59	Facility		$42.90	$43.45	$65.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
United Facility/Professional Facility Modifier Low / Median / High Price $369.53 / $369.53 / $369.53	Facility		$369.53	$369.53	$369.53
United Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $116.99 / $242.17	Professional		$92.26	$116.99	$242.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $46.02 / $942.75	Facility		$45.47	$46.02	$942.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $340.11 / $343.13	Professional		$340.11	$340.11	$343.13