Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $210.50 / $210.50	Facility		$210.50	$210.50	$210.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $210.50 / $210.50	Professional		$177.13	$210.50	$210.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.63 / $255.63 / $255.63	Facility		$255.63	$255.63	$255.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $323.98 / $349.20	Professional		$214.46	$323.98	$349.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $210.50 / $284.98	Facility		$210.50	$210.50	$284.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $216.59 / $216.59	Professional		$216.59	$216.59	$216.59
United Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $287.87 / $583.02	Professional		$205.76	$287.87	$583.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $460.10 / $460.10 / $1,313.52	Facility		$460.10	$460.10	$1,313.52