Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.69 / $1,245.00 / $7,362.00	Facility		$454.69	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.69 / $630.00 / $1,157.07	Facility		$454.69	$630.00	$1,157.07
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 $3,010.91 / $9,388.90 / $12,000.00	Facility		$3,010.91	$9,388.90	$12,000.00