Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.74 / $1,245.00 / $8,413.00	Facility		$625.74	$1,245.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $726.53 / $1,001.18	Facility		$574.00	$726.53	$1,001.18
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 $4,170.81 / $6,817.20 / $26,542.00	Facility		$4,170.81	$6,817.20	$26,542.00