Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.11 / $1,481.37 / $7,439.00	Facility		$935.11	$1,481.37	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $935.11 / $1,534.14 / $1,976.80	Facility		$935.11	$1,534.14	$1,976.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,586.50 / $11,526.13	Facility		$55.00	$9,586.50	$11,526.13