Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.99 / $1,615.00 / $9,392.00	Facility		$480.99	$1,615.00	$9,392.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $451.94 / $636.55 / $1,090.33	Facility		$451.94	$636.55	$1,090.33
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 $2,226.00 / $12,306.75 / $16,026.00	Facility		$2,226.00	$12,306.75	$16,026.00