Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.74 / $1,696.37 / $7,278.00	Facility		$512.74	$1,696.37	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.74 / $633.14 / $1,296.48	Facility		$512.74	$633.14	$1,296.48
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,408.79 / $16,223.75 / $16,394.00	Facility		$3,408.79	$16,223.75	$16,394.00