Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.86 / $6,009.19 / $9,459.00	Facility		$370.86	$6,009.19	$9,459.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $370.86 / $512.23 / $946.29	Facility		$370.86	$512.23	$946.29
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $613.50 / $768.35 / $1,419.44	Facility	50	$613.50	$768.35	$1,419.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,411.24 / $9,388.90 / $26,542.00	Facility		$1,411.24	$9,388.90	$26,542.00