Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $5,994.00 / $9,484.96	Facility		$704.05	$5,994.00	$9,484.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $991.26 / $1,788.15	Facility		$704.05	$991.26	$1,788.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.80 / $198.25 / $357.63	Facility	80	$184.80	$198.25	$357.63
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 $2,660.64 / $9,388.90 / $26,542.00	Facility		$2,660.64	$9,388.90	$26,542.00