Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.69 / $1,635.00 / $10,561.00	Facility		$283.69	$1,635.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $283.69 / $452.84 / $732.51	Facility		$283.69	$452.84	$732.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $78.48 / $93.80 / $150.04	Facility	80	$78.48	$93.80	$150.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,898.33 / $5,444.45 / $26,542.00	Facility		$1,898.33	$5,444.45	$26,542.00