Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.32 / $9,022.71 / $9,022.71	Facility		$1,102.32	$9,022.71	$9,022.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,102.32 / $1,544.84 / $2,789.51	Facility		$1,102.32	$1,544.84	$2,789.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,144.52 / $5,522.64	Facility		$55.00	$4,144.52	$5,522.64