Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.34 / $4,167.89 / $6,915.00	Facility		$332.34	$4,167.89	$6,915.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $878.93 / $1,459.78	Facility		$200.10	$878.93	$1,459.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,596.35 / $1,596.35	Facility		$55.00	$1,596.35	$1,596.35