Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.76 / $100.00	Professional		$45.60	$49.76	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $40.00 / $60.00	Professional		$35.00	$40.00	$60.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $139.60 / $139.60	Professional		$108.58	$139.60	$139.60