Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.65 / $1,635.00 / $10,561.00	Facility		$227.65	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $227.65 / $229.44	Professional		$153.31	$227.65	$229.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.65 / $423.43 / $732.46	Professional		$227.65	$423.43	$732.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.20 / $220.72 / $254.97	Facility		$218.20	$220.72	$254.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $220.72 / $220.72	Professional		$220.72	$220.72	$220.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $309.79 / $618.02	Professional		$217.80	$309.79	$618.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,356.12 / $1,356.12 / $15,056.25	Facility		$1,356.12	$1,356.12	$15,056.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,739.12 / $2,083.28 / $2,083.28	Professional		$1,739.12	$2,083.28	$2,083.28