Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.46 / $1,338.00 / $8,413.00	Facility		$205.46	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.46 / $279.00 / $540.00	Facility		$205.46	$279.00	$540.00
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 $1,355.76 / $9,133.70 / $26,542.00	Facility		$1,355.76	$9,133.70	$26,542.00