Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.14 / $10,924.00 / $17,823.22	Facility		$1,174.14	$10,924.00	$17,823.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.74 / $1,348.40 / $2,675.10	Facility		$1,071.74	$1,348.40	$2,675.10
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 $5,943.60 / $16,547.20 / $26,542.00	Facility		$5,943.60	$16,547.20	$26,542.00