Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,513.56 / $7,762.47	Facility		$302.00	$1,513.56	$7,762.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $630.96 / $1,230.27	Facility		$177.83	$630.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $6,760.83 / $6,760.83	Facility		$56.23	$6,760.83	$6,760.83