Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $1,515.82 / $7,278.00	Facility		$213.02	$1,515.82	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $339.87 / $481.95	Facility		$213.02	$339.87	$481.95
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 $1,374.24 / $16,394.00 / $19,527.70	Facility		$1,374.24	$16,394.00	$19,527.70