Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $1,008.50 / $7,968.00	Facility		$200.48	$1,008.50	$7,968.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $256.13 / $507.32	Facility		$194.05	$256.13	$507.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,281.42 / $4,493.00 / $16,394.00	Facility		$1,281.42	$4,493.00	$16,394.00