Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,235.94 / $10,471.29	Facility		$562.34	$3,235.94	$10,471.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,137.96	Facility		$851.14	$1,288.25	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $9,549.93 / $14,454.40	Facility		$2,754.23	$9,549.93	$14,454.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $43,651.58	Facility		$10,232.93	$10,232.93	$43,651.58