Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.67 / $1,456.92 / $7,767.16	Facility		$922.67	$1,456.92	$7,767.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $922.67 / $1,293.43 / $2,142.03	Facility		$922.67	$1,293.43	$2,142.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $220.00 / $258.69 / $425.69	Facility	80	$220.00	$258.69	$425.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,331.60 / $7,837.84	Facility		$55.00	$6,331.60	$7,837.84