Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.14 / $1,615.00 / $8,413.00	Facility		$635.14	$1,615.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $930.64 / $1,327.44	Facility		$602.04	$930.64	$1,327.44
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 / $6,550.17 / $7,890.96	Facility		$55.00	$6,550.17	$7,890.96