Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.38 / $4,148.00 / $12,543.65	Facility		$918.38	$4,148.00	$12,543.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.41 / $840.83 / $1,649.92	Facility		$655.41	$840.83	$1,649.92
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.80 / $163.60 / $329.98	Facility	80	$157.80	$163.60	$329.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,366.18 / $16,223.75 / $16,394.00	Facility		$4,366.18	$16,223.75	$16,394.00