Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.42 / $1,615.00 / $7,439.00	Facility		$1,412.42	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,473.51 / $1,814.68 / $3,204.47	Facility		$1,473.51	$1,814.68	$3,204.47
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 / $17,440.91 / $20,674.80	Facility		$55.00	$17,440.91	$20,674.80