Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.50 / $3,193.00 / $8,391.04	Facility		$278.50	$3,193.00	$8,391.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.50 / $447.74 / $613.09	Facility		$278.50	$447.74	$613.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,460.06 / $1,460.06 / $16,394.00	Facility		$1,460.06	$1,460.06	$16,394.00