Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,715.35 / $7,585.78	Facility		$331.13	$3,715.35	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $870.96	Facility		$331.13	$512.86	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $6,760.83	Facility		$1,380.38	$3,890.45	$6,760.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $28,840.32	Facility		$5,623.41	$5,623.41	$28,840.32