Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.03 / $1,849.00 / $12,615.00	Facility		$916.03	$1,849.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $916.03 / $1,258.75 / $2,451.94	Facility		$916.03	$1,258.75	$2,451.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,333.06 / $13,856.55	Facility		$55.00	$9,333.06	$13,856.55