Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.71 / $2,536.00 / $13,573.75	Facility		$467.71	$2,536.00	$13,573.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.71 / $693.00 / $1,243.00	Facility		$467.71	$693.00	$1,243.00
United Facility/Professional Facility Modifier Low / Median / High Price $11,832.00 / $23,512.00 / $39,350.00	Facility		$11,832.00	$23,512.00	$39,350.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,186.60 / $16,026.00 / $43,046.30	Facility		$2,186.60	$16,026.00	$43,046.30