Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.86 / $1,158.38 / $7,439.00	Facility		$737.86	$1,158.38	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $737.86 / $1,018.36 / $1,748.35	Facility		$737.86	$1,018.36	$1,748.35
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 / $9,056.06 / $10,956.66	Facility		$55.00	$9,056.06	$10,956.66