Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $2,588.50 / $5,536.30	Facility		$143.94	$2,588.50	$5,536.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $221.29 / $360.96	Facility		$143.94	$221.29	$360.96
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 $55.00 / $724.47 / $724.47	Facility		$55.00	$724.47	$724.47