Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.27 / $545.90 / $7,439.00	Facility		$343.27	$545.90	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.27 / $487.44 / $836.91	Facility		$343.27	$487.44	$836.91
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 / $822.51 / $1,577.52	Facility		$55.00	$822.51	$1,577.52