Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.22 / $2,536.00 / $12,247.00	Facility		$1,551.22	$2,536.00	$12,247.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,551.22 / $1,957.60 / $3,874.85	Facility		$1,551.22	$1,957.60	$3,874.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,504.51 / $12,081.00 / $19,066.00	Facility		$4,504.51	$12,081.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,627.28 / $16,547.20 / $26,542.00	Facility		$8,627.28	$16,547.20	$26,542.00