Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.38 / $554.37 / $5,449.00	Facility		$285.38	$554.37	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $285.38 / $468.00 / $781.96	Facility		$285.38	$468.00	$781.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,648.08 / $2,648.08 / $12,000.00	Facility		$2,648.08	$2,648.08	$12,000.00