Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $11,525.00 / $11,986.00	Facility		$1,245.00	$11,525.00	$11,986.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,187.38 / $1,512.45 / $2,982.53	Facility		$1,187.38	$1,512.45	$2,982.53
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 $6,630.06 / $16,547.20 / $26,542.00	Facility		$6,630.06	$16,547.20	$26,542.00