Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.26 / $6,953.60 / $10,690.00	Facility		$639.26	$6,953.60	$10,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.30 / $767.22 / $1,063.76	Professional		$623.30	$767.22	$1,063.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.44 / $1,194.56 / $2,073.39	Professional		$688.44	$1,194.56	$2,073.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $639.26 / $1,037.85 / $1,146.88	Facility		$639.26	$1,037.85	$1,146.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $824.00 / $1,037.85	Professional		$824.00	$824.00	$1,037.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.59 / $849.91 / $1,928.98	Professional		$626.59	$849.91	$1,928.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,758.86 / $9,001.70 / $26,542.00	Facility		$3,758.86	$9,001.70	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,641.50 / $4,641.50 / $4,877.33	Professional		$4,641.50	$4,641.50	$4,877.33