Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $1,615.00 / $7,439.00	Facility		$396.21	$1,615.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.54 / $570.79 / $828.08	Facility		$380.54	$570.79	$828.08
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 / $2,635.78 / $3,187.38	Facility		$55.00	$2,635.78	$3,187.38