Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.56 / $6,384.00 / $19,892.59	Facility		$498.56	$6,384.00	$19,892.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.03 / $488.10 / $763.46	Facility		$346.03	$488.10	$763.46
United Facility/Professional Facility Modifier Low / Median / High Price $22,810.00 / $44,645.00 / $93,339.00	Facility		$22,810.00	$44,645.00	$93,339.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,718.16 / $27,248.00 / $106,196.20	Facility		$2,718.16	$27,248.00	$106,196.20