Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $1,891.00 / $16,059.00	Facility		$125.54	$1,891.00	$16,059.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $376.24 / $513.60	Facility		$125.54	$376.24	$513.60
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 / $302.95 / $1,300.00	Facility		$55.00	$302.95	$1,300.00