Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.78 / $1,245.00 / $7,278.00	Facility		$619.78	$1,245.00	$7,278.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.78 / $932.57 / $1,568.07	Facility		$619.78	$932.57	$1,568.07
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 $4,335.00 / $4,335.00 / $16,394.00	Facility		$4,335.00	$4,335.00	$16,394.00