Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.22 / $2,403.00 / $9,295.00	Facility		$334.22	$2,403.00	$9,295.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.22 / $468.58 / $856.66	Facility		$334.22	$468.58	$856.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,392.88 / $3,456.00 / $6,543.00	Facility		$1,392.88	$3,456.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,258.68 / $5,564.75 / $16,394.00	Facility		$1,258.68	$5,564.75	$16,394.00