Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.47 / $1,635.00 / $10,561.00	Facility		$249.47	$1,635.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $249.47 / $254.25	Professional		$173.26	$249.47	$254.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $322.33 / $768.21	Professional		$100.00	$322.33	$768.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $242.72 / $279.41	Facility		$239.80	$242.72	$279.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $242.72 / $242.72	Professional		$242.72	$242.72	$242.72
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 $239.58 / $298.89 / $655.86	Professional		$239.58	$298.89	$655.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,683.43 / $1,683.43 / $2,059.75	Facility		$1,683.43	$1,683.43	$2,059.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,408.45 / $2,217.08 / $2,217.08	Professional		$1,408.45	$2,217.08	$2,217.08