Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.05 / $1,097.61 / $5,449.00	Facility		$67.05	$1,097.61	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.05 / $114.31 / $180.53	Facility		$67.05	$114.31	$180.53
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $528.85 / $528.85	Facility		$55.00	$528.85	$528.85