Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $1,338.00 / $7,993.00	Facility		$192.50	$1,338.00	$7,993.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $553.84 / $1,153.17	Facility		$192.50	$553.84	$1,153.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.64 / $1,550.64	Facility		$55.00	$1,550.64	$1,550.64