Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $6,384.00 / $8,104.55	Facility		$439.73	$6,384.00	$8,104.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $289.14 / $430.50 / $625.60	Facility		$289.14	$430.50	$625.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,555.64 / $13,486.75	Facility		$55.00	$2,555.64	$13,486.75