Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.85 / $1,615.00 / $13,764.00	Facility		$906.85	$1,615.00	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $906.85 / $1,270.70 / $2,423.13	Facility		$906.85	$1,270.70	$2,423.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,603.11 / $13,856.55	Facility		$55.00	$7,603.11	$13,856.55