Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $1,245.00 / $6,953.60	Facility		$66.12	$1,245.00	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $100.16 / $162.30	Facility		$66.12	$100.16	$162.30
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 $55.00 / $175.43 / $4,493.00	Facility		$55.00	$175.43	$4,493.00