Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $8,709.64	Facility		$741.31	$1,819.70	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,348.96	Facility		$741.31	$891.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $10,964.78 / $10,964.78	Facility		$56.23	$10,964.78	$10,964.78