Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.63 / $632.42 / $5,449.00	Facility		$330.63	$632.42	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.63 / $563.08 / $1,066.00	Facility		$330.63	$563.08	$1,066.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,074.88 / $3,074.88 / $12,000.00	Facility		$3,074.88	$3,074.88	$12,000.00