Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.23 / $1,084.10 / $7,278.00	Facility		$693.23	$1,084.10	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.23 / $894.89 / $1,217.26	Facility		$693.23	$894.89	$1,217.26
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 $3,537.80 / $3,537.80 / $16,394.00	Facility		$3,537.80	$3,537.80	$16,394.00