Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.87 / $1,172.10 / $7,439.00	Facility		$770.87	$1,172.10	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $770.87 / $990.53 / $1,918.73	Facility		$770.87	$990.53	$1,918.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,617.12 / $14,084.32	Facility		$55.00	$11,617.12	$14,084.32