Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.63 / $1,818.98 / $6,519.00	Facility		$171.63	$1,818.98	$6,519.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.63 / $341.48 / $688.32	Facility		$171.63	$341.48	$688.32
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 $1,373.89 / $1,373.89 / $16,394.00	Facility		$1,373.89	$1,373.89	$16,394.00