Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $5,935.81 / $12,615.00	Facility		$174.96	$5,935.81	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $183.10 / $423.64	Facility		$144.00	$183.10	$423.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $600.67 / $4,989.20	Facility		$55.00	$600.67	$4,989.20