Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $7,968.00	Facility		$104.76	$104.76	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $104.76 / $105.79	Professional		$104.76	$104.76	$105.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $105.80 / $158.69	Professional		$105.80	$105.80	$158.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $111.05	Facility		$104.76	$104.76	$111.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $108.80 / $108.80	Professional		$108.80	$108.80	$108.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $152.91 / $358.33	Professional		$108.31	$152.91	$358.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $267.67 / $300.72 / $6,887.55	Facility		$267.67	$300.72	$6,887.55