Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.21 / $4,086.00 / $5,449.00	Facility		$1,404.21	$4,086.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $216.80 / $903.00	Professional		$128.60	$216.80	$903.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.00 / $804.00 / $804.00	Facility		$804.00	$804.00	$804.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $5,897.00	Facility		$5,897.00	$5,897.00	$5,897.00