Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $777.64 / $5,449.00	Facility		$172.35	$777.64	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $508.27 / $1,049.56	Facility		$172.35	$508.27	$1,049.56
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 $55.00 / $1,383.97 / $1,383.97	Facility		$55.00	$1,383.97	$1,383.97