Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.38 / $2,074.00 / $7,698.49	Facility		$956.38	$2,074.00	$7,698.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $956.38 / $1,338.25 / $2,422.66	Facility		$956.38	$1,338.25	$2,422.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $242.20 / $267.64 / $484.53	Facility	80	$242.20	$267.64	$484.53
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 $3,599.48 / $14,302.50 / $16,394.00	Facility		$3,599.48	$14,302.50	$16,394.00