Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.93 / $2,074.00 / $6,915.00	Facility		$288.93	$2,074.00	$6,915.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.46 / $374.15 / $680.00	Facility		$153.46	$374.15	$680.00
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 $1,221.71 / $1,221.71 / $16,394.00	Facility		$1,221.71	$1,221.71	$16,394.00