Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.33 / $1,933.00 / $15,291.00	Facility		$1,053.33	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,053.33 / $1,355.59 / $2,642.85	Facility		$1,053.33	$1,355.59	$2,642.85
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 / $11,031.13 / $13,436.17	Facility		$55.00	$11,031.13	$13,436.17