Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.54 / $1,389.71 / $10,561.00	Facility		$885.54	$1,389.71	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $846.52 / $1,062.65 / $1,424.15	Facility		$846.52	$1,062.65	$1,424.15
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 $4,970.28 / $6,075.60 / $26,542.00	Facility		$4,970.28	$6,075.60	$26,542.00