Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.87 / $1,615.00 / $7,439.00	Facility		$243.87	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.87 / $358.00 / $646.65	Facility		$243.87	$358.00	$646.65
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 $1,552.88 / $9,133.70 / $16,394.00	Facility		$1,552.88	$9,133.70	$16,394.00