Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.46 / $1,839.66 / $6,953.60	Facility		$1,345.46	$1,839.66	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,345.46 / $1,937.00 / $3,548.38	Facility		$1,345.46	$1,937.00	$3,548.38
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 / $15,903.60 / $18,884.28	Facility		$55.00	$15,903.60	$18,884.28