Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.53 / $1,615.00 / $10,561.00	Facility		$832.53	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $928.28 / $1,450.15	Facility		$806.00	$928.28	$1,450.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,658.04 / $9,001.70 / $26,542.00	Facility		$4,658.04	$9,001.70	$26,542.00