Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $1,841.64 / $7,439.00	Facility		$1,615.00	$1,841.64	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,680.20 / $2,497.00 / $4,087.97	Facility		$1,680.20	$2,497.00	$4,087.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $317.19 / $499.40 / $785.82	Facility	80	$317.19	$499.40	$785.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,147.52 / $30,175.36	Facility		$55.00	$25,147.52	$30,175.36