Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.12 / $1,245.00 / $10,561.00	Facility		$640.12	$1,245.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.12 / $716.93 / $1,004.47	Facility		$640.12	$716.93	$1,004.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,612.12 / $11,879.05 / $26,542.00	Facility		$3,612.12	$11,879.05	$26,542.00