Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,659.59 / $8,128.31	Facility		$338.84	$1,659.59	$8,128.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $380.19	Facility		$204.17	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $14,454.40	Facility		$3,548.13	$9,549.93	$14,454.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $19,054.61 / $19,054.61	Facility		$56.23	$19,054.61	$19,054.61