Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $2,309.55 / $7,362.00	Facility		$75.45	$2,309.55	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $136.16 / $243.86	Facility		$59.42	$136.16	$243.86
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $337.00 / $337.00	Facility		$55.00	$337.00	$337.00