Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.13 / $2,536.00 / $12,321.00	Facility		$468.13	$2,536.00	$12,321.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $468.13 / $675.00 / $1,178.08	Facility		$468.13	$675.00	$1,178.08
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,483.00 / $45,112.00	Facility		$12,077.00	$26,483.00	$45,112.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,188.50 / $16,026.00 / $43,081.10	Facility		$2,188.50	$16,026.00	$43,081.10