Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $612.44 / $5,449.00	Facility		$316.25	$612.44	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $544.91 / $997.96	Facility		$316.25	$544.91	$997.96
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 $2,576.63 / $2,576.63 / $12,000.00	Facility		$2,576.63	$2,576.63	$12,000.00