Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.46 / $1,245.00 / $5,449.00	Facility		$210.46	$1,245.00	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.46 / $1,116.44 / $2,218.59	Facility		$210.46	$1,116.44	$2,218.59
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 / $1,781.09 / $1,781.09	Facility		$55.00	$1,781.09	$1,781.09