Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.63 / $1,615.00 / $10,561.00	Facility		$683.63	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.63 / $834.00 / $1,258.70	Facility		$683.63	$834.00	$1,258.70
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 $3,857.34 / $5,819.45 / $26,542.00	Facility		$3,857.34	$5,819.45	$26,542.00