Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.23 / $1,212.64 / $7,439.00	Facility		$783.23	$1,212.64	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $783.23 / $995.22 / $1,960.31	Facility		$783.23	$995.22	$1,960.31
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 / $9,706.58 / $11,804.52	Facility		$55.00	$9,706.58	$11,804.52