Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.05 / $1,635.00 / $10,561.00	Facility		$158.05	$1,635.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.05 / $277.83 / $428.69	Facility		$158.05	$277.83	$428.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $732.40 / $11,933.00 / $24,767.20	Facility		$732.40	$11,933.00	$24,767.20