Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.60 / $2,273.85 / $8,442.00	Facility		$333.60	$2,273.85	$8,442.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.60 / $3,270.47 / $8,763.07	Facility		$333.60	$3,270.47	$8,763.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,492.00 / $13,946.00 / $21,454.00	Facility		$6,492.00	$13,946.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,834.68 / $4,834.68	Facility		$55.00	$4,834.68	$4,834.68