Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.67 / $6,384.00 / $8,909.58	Facility		$616.67	$6,384.00	$8,909.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.23 / $620.71 / $836.30	Facility		$440.23	$620.71	$836.30
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 $3,089.94 / $3,089.94 / $26,542.00	Facility		$3,089.94	$3,089.94	$26,542.00