Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $1,018.07 / $5,449.00	Facility		$121.29	$1,018.07	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $556.04 / $1,509.40	Facility		$121.96	$556.04	$1,509.40
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,236.66 / $1,236.66 / $12,500.00	Facility		$1,236.66	$1,236.66	$12,500.00