Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.41 / $1,224.45 / $7,439.00	Facility		$777.41	$1,224.45	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $777.41 / $1,083.45 / $1,856.18	Facility		$777.41	$1,083.45	$1,856.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,834.08 / $14,315.52	Facility		$55.00	$11,834.08	$14,315.52