Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.48 / $1,615.00 / $12,615.00	Facility		$867.48	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.48 / $1,212.95 / $2,322.98	Facility		$867.48	$1,212.95	$2,322.98
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 / $5,789.42 / $13,856.55	Facility		$55.00	$5,789.42	$13,856.55