Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $290.30 / $7,439.00	Facility		$186.07	$290.30	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $266.29 / $383.37	Facility		$186.07	$266.29	$383.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $48.20 / $57.63 / $91.58	Facility	80	$48.20	$57.63	$91.58
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 / $458.98 / $889.72	Facility		$55.00	$458.98	$889.72