Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.44 / $1,151.17 / $8,413.00	Facility		$712.44	$1,151.17	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $712.44 / $934.34 / $1,350.50	Facility		$712.44	$934.34	$1,350.50
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 $3,654.13 / $3,654.13 / $26,542.00	Facility		$3,654.13	$3,654.13	$26,542.00