Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,342.00 / $1,342.00 / $1,342.00	Facility		$1,342.00	$1,342.00	$1,342.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.81 / $366.81 / $366.81	Professional		$366.81	$366.81	$366.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,332.37 / $1,332.37 / $9,172.45	Facility		$1,332.37	$1,332.37	$9,172.45