Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $1,245.00 / $5,449.00	Facility		$246.27	$1,245.00	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $1,188.05 / $2,367.23	Facility		$246.27	$1,188.05	$2,367.23
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 $55.00 / $1,963.99 / $1,963.99	Facility		$55.00	$1,963.99	$1,963.99