Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.43 / $1,615.00 / $13,764.00	Facility		$973.43	$1,615.00	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $973.43 / $1,316.15 / $2,609.11	Facility		$973.43	$1,316.15	$2,609.11
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 / $6,462.12 / $13,856.55	Facility		$55.00	$6,462.12	$13,856.55