Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $1,338.00 / $8,413.00	Facility		$298.83	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $449.00 / $757.42	Facility		$298.83	$449.00	$757.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,389.40 / $13,486.75	Facility		$55.00	$3,389.40	$13,486.75