Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $1,289.39 / $7,439.00	Facility		$837.17	$1,289.39	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $1,080.55 / $2,077.37	Facility		$837.17	$1,080.55	$2,077.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,283.52 / $12,468.04	Facility		$55.00	$10,283.52	$12,468.04