Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.14 / $1,268.09 / $7,439.00	Facility		$792.14	$1,268.09	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.14 / $1,006.91 / $1,999.22	Facility		$792.14	$1,006.91	$1,999.22
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 $55.00 / $5,239.14 / $15,214.55	Facility		$55.00	$5,239.14	$15,214.55