Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,737.80 / $7,585.78	Facility		$707.95	$1,737.80	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Facility		$457.09	$645.65	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,244.36 / $10,471.29	Facility		$2,511.89	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $19,498.45	Facility		$9,332.54	$9,332.54	$19,498.45