Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.72 / $1,452.05 / $10,561.00	Facility		$898.72	$1,452.05	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $898.72 / $1,014.08 / $1,575.00	Facility		$898.72	$1,014.08	$1,575.00
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 $5,072.52 / $14,907.95 / $26,542.00	Facility		$5,072.52	$14,907.95	$26,542.00