Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.76 / $6,384.00 / $11,421.79	Facility		$622.76	$6,384.00	$11,421.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $562.49 / $817.71	Facility		$371.20	$562.49	$817.71
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 / $3,335.22 / $13,486.75	Facility		$55.00	$3,335.22	$13,486.75