Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.94 / $2,279.07 / $17,644.61	Facility		$1,418.94	$2,279.07	$17,644.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,418.94 / $1,815.84 / $3,573.86	Facility		$1,418.94	$1,815.84	$3,573.86
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 / $12,037.41 / $14,782.05	Facility		$55.00	$12,037.41	$14,782.05