Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,659.59 / $8,709.64	Facility		$741.31	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,819.70	Facility		$741.31	$1,071.52	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $13,803.84 / $13,803.84	Facility		$56.23	$13,803.84	$13,803.84