Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.89 / $1,621.28 / $13,764.00	Facility		$988.89	$1,621.28	$13,764.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $988.89 / $1,646.51 / $2,667.62	Facility		$988.89	$1,646.51	$2,667.62
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 / $8,369.45 / $13,856.55	Facility		$55.00	$8,369.45	$13,856.55