Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.49 / $3,757.00 / $9,392.00	Facility		$521.49	$3,757.00	$9,392.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $473.97 / $665.36 / $1,171.92	Facility		$473.97	$665.36	$1,171.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,096.10 / $11,082.10 / $16,026.00	Facility		$3,096.10	$11,082.10	$16,026.00