Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $2,902.41 / $10,453.00	Facility		$622.66	$2,902.41	$10,453.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $865.37 / $1,528.30	Facility		$622.66	$865.37	$1,528.30
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 $4,066.65 / $11,082.10 / $16,026.00	Facility		$4,066.65	$11,082.10	$16,026.00