Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.76 / $1,287.65 / $7,278.00	Facility		$492.76	$1,287.65	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $492.76 / $699.71 / $1,225.84	Facility		$492.76	$699.71	$1,225.84
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 $55.00 / $3,466.74 / $3,466.74	Facility		$55.00	$3,466.74	$3,466.74