Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.85 / $4,376.00 / $7,278.00	Facility		$814.85	$4,376.00	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $885.32 / $1,230.00	Facility		$783.00	$885.32	$1,230.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $156.60 / $173.40 / $221.40	Facility	80	$156.60	$173.40	$221.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,616.22 / $6,887.55 / $16,394.00	Facility		$4,616.22	$6,887.55	$16,394.00