Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $221.74 / $5,449.00	Facility		$136.13	$221.74	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $172.98 / $230.64	Facility		$136.13	$172.98	$230.64
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $695.69 / $12,000.00	Facility		$695.69	$695.69	$12,000.00