Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.52 / $3,192.00 / $22,628.96	Facility		$366.52	$3,192.00	$22,628.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $347.27 / $487.58 / $766.03	Facility		$347.27	$487.58	$766.03
United Facility/Professional Facility Modifier Low / Median / High Price $11,832.00 / $23,512.00 / $39,350.00	Facility		$11,832.00	$23,512.00	$39,350.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,700.35 / $11,933.00 / $74,997.75	Facility		$1,700.35	$11,933.00	$74,997.75