Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.77 / $6,001.03 / $9,648.00	Facility		$876.77	$6,001.03	$9,648.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $480.87 / $688.03 / $1,215.92	Facility		$480.87	$688.03	$1,215.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,609.75 / $2,609.75	Facility		$55.00	$2,609.75	$2,609.75