Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.11 / $3,134.05 / $8,442.00	Facility		$427.11	$3,134.05	$8,442.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $427.11 / $3,468.89 / $5,327.89	Facility		$427.11	$3,468.89	$5,327.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,372.33 / $5,372.33	Facility		$55.00	$5,372.33	$5,372.33