Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $7,244.36	Facility		$234.42	$1,862.09	$7,244.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $467.74 / $1,621.81	Facility		$147.91	$467.74	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,890.45 / $6,760.83	Facility		$1,318.26	$3,890.45	$6,760.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $19,498.45	Facility		$4,466.84	$4,466.84	$19,498.45