Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.81 / $1,615.00 / $12,615.00	Facility		$757.81	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $757.81 / $1,048.99 / $1,922.79	Facility		$757.81	$1,048.99	$1,922.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,052.04 / $9,388.90 / $26,542.00	Facility		$5,052.04	$9,388.90	$26,542.00