Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.16 / $3,843.00 / $8,015.16	Facility		$404.16	$3,843.00	$8,015.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $515.19 / $972.96	Facility		$384.52	$515.19	$972.96
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 $1,455.80 / $9,388.90 / $26,542.00	Facility		$1,455.80	$9,388.90	$26,542.00