Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.21 / $1,221.33 / $7,439.00	Facility		$781.21	$1,221.33	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.21 / $1,081.00 / $1,962.74	Facility		$781.21	$1,081.00	$1,962.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,985.60 / $14,514.08	Facility		$55.00	$11,985.60	$14,514.08