Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.52 / $1,615.00 / $8,413.00	Facility		$742.52	$1,615.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $742.52 / $772.28	Professional		$523.22	$742.52	$772.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,299.04 / $2,322.04	Professional		$100.00	$1,299.04	$2,322.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $721.69 / $831.62	Facility		$721.69	$721.69	$831.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $721.69 / $721.69 / $721.69	Professional		$721.69	$721.69	$721.69
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 $742.52 / $901.48 / $1,871.71	Professional		$742.52	$901.48	$1,871.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,526.16 / $4,526.16 / $11,879.05	Facility		$4,526.16	$4,526.16	$11,879.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,803.28 / $5,803.28 / $5,803.28	Professional		$5,803.28	$5,803.28	$5,803.28