Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $4,466.84 / $8,709.64	Facility		$128.82	$4,466.84	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $269.15	Facility		$109.65	$147.91	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $812.83 / $812.83	Facility		$56.23	$812.83	$812.83