Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.12 / $1,615.00 / $9,392.00	Facility		$315.12	$1,615.00	$9,392.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.12 / $493.00 / $833.89	Facility		$315.12	$493.00	$833.89
United Facility/Professional Facility Modifier Low / Median / High Price $11,832.00 / $23,512.00 / $39,350.00	Facility		$11,832.00	$23,512.00	$39,350.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,186.64 / $26,542.00 / $36,977.35	Facility		$1,186.64	$26,542.00	$36,977.35