Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $3,647.65 / $6,152.16	Facility		$135.31	$3,647.65	$6,152.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $175.00 / $314.26	Facility		$83.39	$175.00	$314.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $470.30 / $470.30 / $12,000.00	Facility		$470.30	$470.30	$12,000.00