Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,230.27 / $5,495.41	Facility		$467.74	$1,230.27	$5,495.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $776.25	Facility		$323.59	$501.19	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $10,471.29	Facility		$2,454.71	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $19,498.45	Facility		$7,943.28	$7,943.28	$19,498.45