Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.37 / $3,970.50 / $13,095.86	Facility		$235.37	$3,970.50	$13,095.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.37 / $319.00 / $623.53	Facility		$235.37	$319.00	$623.53
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 $1,551.41 / $9,133.70 / $26,542.00	Facility		$1,551.41	$9,133.70	$26,542.00