Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.65 / $1,615.00 / $10,924.00	Facility		$954.65	$1,615.00	$10,924.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.50 / $1,333.00 / $2,393.29	Facility		$914.50	$1,333.00	$2,393.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $246.52 / $266.60 / $478.66	Facility	80	$246.52	$266.60	$478.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,245.19 / $7,684.81	Facility		$55.00	$6,245.19	$7,684.81