Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $4,546.04 / $10,303.09	Facility		$901.00	$4,546.04	$10,303.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.49 / $288.00 / $483.09	Facility		$183.49	$288.00	$483.09
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 $1,222.83 / $9,133.70 / $16,394.00	Facility		$1,222.83	$9,133.70	$16,394.00