Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $8,709.64	Facility		$489.78	$1,202.26	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,000.00	Facility		$457.09	$660.69	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,918.31	Facility		$1,174.90	$3,890.45	$6,918.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $5,128.61 / $5,128.61	Facility		$56.23	$5,128.61	$5,128.61