Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.39 / $778.94 / $5,449.00	Facility		$409.39	$778.94	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.39 / $627.35 / $1,089.81	Facility		$409.39	$627.35	$1,089.81
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 $2,899.50 / $2,899.50 / $12,000.00	Facility		$2,899.50	$2,899.50	$12,000.00