Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.40 / $651.89 / $7,439.00	Facility		$412.40	$651.89	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.61 / $604.51 / $861.92	Facility		$388.61	$604.51	$861.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $120.90 / $120.90 / $193.01	Facility	80	$120.90	$120.90	$193.01
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $928.42 / $1,952.06	Facility		$55.00	$928.42	$1,952.06
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $580.26 / $632.28 / $1,220.04	Facility	62	$580.26	$632.28	$1,220.04