Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.96 / $4,683.27 / $12,247.00	Facility		$662.96	$4,683.27	$12,247.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $662.96 / $799.05 / $1,631.05	Facility		$662.96	$799.05	$1,631.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,678.24 / $7,909.30 / $26,542.00	Facility		$3,678.24	$7,909.30	$26,542.00