Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.77 / $1,245.00 / $8,413.00	Facility		$665.77	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $638.76 / $848.00 / $1,104.18	Facility		$638.76	$848.00	$1,104.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,460.32 / $5,564.75 / $26,542.00	Facility		$2,460.32	$5,564.75	$26,542.00