Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.09 / $8,442.00 / $28,275.57	Facility		$380.09	$8,442.00	$28,275.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.09 / $535.17 / $937.86	Facility		$380.09	$535.17	$937.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,779.20 / $11,082.10 / $11,933.00	Facility		$1,779.20	$11,082.10	$11,933.00