Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.29 / $4,704.41 / $9,994.50	Facility		$636.29	$4,704.41	$9,994.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $763.57 / $1,033.76	Facility		$566.00	$763.57	$1,033.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,179.33 / $7,162.00 / $10,502.00	Facility		$2,179.33	$7,162.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,973.56 / $3,973.56 / $26,542.00	Facility		$3,973.56	$3,973.56	$26,542.00