Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.08 / $4,319.13 / $7,278.00	Facility		$457.08	$4,319.13	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.08 / $572.55 / $1,151.20	Facility		$457.08	$572.55	$1,151.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,069.36 / $8,723.79 / $16,394.00	Facility		$3,069.36	$8,723.79	$16,394.00