Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.79 / $1,615.00 / $7,593.00	Facility		$156.79	$1,615.00	$7,593.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.79 / $209.50 / $399.82	Facility		$156.79	$209.50	$399.82
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 $1,037.54 / $9,133.70 / $16,394.00	Facility		$1,037.54	$9,133.70	$16,394.00