Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,760.83 / $8,317.64	Facility		$831.76	$6,760.83	$8,317.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,096.48	Facility		$512.86	$707.95	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $14,454.40	Facility		$2,691.53	$9,549.93	$14,454.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $45,708.82	Facility		$9,332.54	$9,332.54	$45,708.82