Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $1,909.50 / $6,615.71	Facility		$506.32	$1,909.50	$6,615.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $820.27 / $1,039.70 / $2,056.19	Facility		$820.27	$1,039.70	$2,056.19
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 $3,899.45 / $15,214.55 / $16,394.00	Facility		$3,899.45	$15,214.55	$16,394.00