Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.86 / $1,338.45 / $7,439.00	Facility		$805.86	$1,338.45	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $805.86 / $1,140.82 / $1,983.97	Facility		$805.86	$1,140.82	$1,983.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,183.36 / $14,729.60	Facility		$55.00	$12,183.36	$14,729.60