Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.16 / $4,524.62 / $7,388.52	Facility		$430.16	$4,524.62	$7,388.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.00 / $432.25 / $726.66	Facility		$291.00	$432.25	$726.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,499.81 / $1,499.81 / $16,394.00	Facility		$1,499.81	$1,499.81	$16,394.00