Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.75 / $1,933.00 / $15,291.00	Facility		$576.75	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.75 / $808.00 / $1,422.11	Facility		$576.75	$808.00	$1,422.11
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 $3,763.69 / $17,070.15 / $26,542.00	Facility		$3,763.69	$17,070.15	$26,542.00