Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.36 / $863.36 / $1,699.90	Facility		$863.36	$863.36	$1,699.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.66 / $863.36 / $863.36	Professional		$803.66	$863.36	$863.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.00 / $1,441.00 / $1,801.19	Facility		$1,441.00	$1,441.00	$1,801.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $858.25 / $863.36 / $1,036.03	Facility		$858.25	$863.36	$1,036.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,188.74 / $1,188.74 / $1,188.74	Professional		$1,188.74	$1,188.74	$1,188.74
United Facility/Professional Professional Modifier Low / Median / High Price $408.33 / $1,276.84 / $2,544.59	Professional		$408.33	$1,276.84	$2,544.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,533.85 / $3,758.09 / $3,758.09	Facility		$1,533.85	$3,758.09	$3,758.09