Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.47 / $1,573.28 / $8,401.16	Facility		$992.47	$1,573.28	$8,401.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $992.47 / $1,403.12 / $2,649.52	Facility		$992.47	$1,403.12	$2,649.52
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 / $8,381.96 / $13,856.55	Facility		$55.00	$8,381.96	$13,856.55