Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.32 / $1,933.00 / $15,291.00	Facility		$683.32	$1,933.00	$15,291.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.32 / $1,038.06 / $1,723.70	Facility		$683.32	$1,038.06	$1,723.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,486.02 / $5,545.75	Facility		$55.00	$4,486.02	$5,545.75