Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.69 / $1,064.14 / $7,439.00	Facility		$692.69	$1,064.14	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.69 / $880.49 / $1,730.97	Facility		$692.69	$880.49	$1,730.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,586.96 / $5,587.33	Facility		$55.00	$4,586.96	$5,587.33