Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.04 / $1,547.04 / $12,615.00	Facility		$762.04	$1,547.04	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.04 / $1,450.35 / $1,454.18	Facility		$762.04	$1,450.35	$1,454.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.59 / $290.83 / $290.83	Facility	80	$203.59	$290.83	$290.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,126.55	Facility		$55.00	$55.00	$24,126.55