Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,659.59 / $7,585.78	Facility		$389.05	$1,659.59	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $831.76 / $1,659.59	Facility		$257.04	$831.76	$1,659.59
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