Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.55 / $4,108.76 / $8,177.52	Facility		$278.55	$4,108.76	$8,177.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.96 / $313.50 / $455.78	Facility		$181.96	$313.50	$455.78
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 $1,262.52 / $1,262.52 / $26,542.00	Facility		$1,262.52	$1,262.52	$26,542.00