Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $6,918.31	Facility		$489.78	$933.25	$6,918.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $851.14	Facility		$302.00	$467.74	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,244.36 / $10,471.29	Facility		$2,511.89	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $19,498.45	Facility		$14,454.40	$14,454.40	$19,498.45