Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.26 / $208.26 / $208.26	Facility		$208.26	$208.26	$208.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $208.26 / $208.26	Professional		$165.44	$208.26	$208.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $217.21 / $356.78	Professional		$143.47	$217.21	$356.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.95 / $198.18 / $310.20	Facility		$125.95	$198.18	$310.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $125.95 / $125.95	Professional		$125.95	$125.95	$125.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $150.00 / $432.00	Professional		$138.00	$150.00	$432.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $3,728.65 / $3,728.65	Facility		$405.45	$3,728.65	$3,728.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,328.36 / $2,006.33 / $2,006.33	Professional		$1,328.36	$2,006.33	$2,006.33