Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.46 / $4,376.00 / $11,762.69	Facility		$400.46	$4,376.00	$11,762.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.46 / $575.00 / $991.33	Facility		$400.46	$575.00	$991.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,494.72 / $5,564.75 / $16,394.00	Facility		$1,494.72	$5,564.75	$16,394.00