Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,454.71 / $8,317.64	Facility		$331.13	$2,454.71	$8,317.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $741.31 / $1,513.56	Facility		$194.98	$741.31	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $14,454.40	Facility		$2,691.53	$9,549.93	$14,454.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $9,332.54 / $9,332.54	Facility		$56.23	$9,332.54	$9,332.54