Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.57 / $1,126.75 / $5,893.41	Facility		$720.57	$1,126.75	$5,893.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $698.92 / $935.28 / $1,703.12	Facility		$698.92	$935.28	$1,703.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,616.07 / $9,358.79	Facility		$55.00	$7,616.07	$9,358.79