Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.11 / $1,077.80 / $7,439.00	Facility		$687.11	$1,077.80	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.11 / $824.53 / $1,090.51	Facility		$687.11	$824.53	$1,090.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,167.35 / $6,260.24	Facility		$55.00	$5,167.35	$6,260.24