Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.63 / $1,245.00 / $8,413.00	Facility		$331.63	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $449.04 / $693.11	Facility		$314.62	$449.04	$693.11
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 $1,549.20 / $11,933.00 / $36,434.60	Facility		$1,549.20	$11,933.00	$36,434.60