Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,081.55 / $7,439.00	Facility		$1,615.00	$4,081.55	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,067.00 / $5,085.88 / $10,749.38	Facility		$4,067.00	$5,085.88	$10,749.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $797.60 / $1,017.18 / $2,192.33	Facility	80	$797.60	$1,017.18	$2,192.33
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 / $63,905.28 / $75,361.92	Facility		$55.00	$63,905.28	$75,361.92