Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $3,715.35 / $5,248.07	Facility		$38.02	$3,715.35	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $38.02	Professional		$20.89	$28.84	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $104.71	Facility		$43.65	$52.48	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Professional		$39.81	$39.81	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $63.10	Facility		$38.90	$46.77	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $114.82	Facility		$75.86	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $40.74	Professional		$22.91	$28.84	$40.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88