Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.99 / $3,854.35 / $7,439.00	Facility		$270.99	$3,854.35	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.99 / $388.33 / $685.89	Facility		$270.99	$388.33	$685.89
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 $1,018.40 / $9,388.90 / $16,394.00	Facility		$1,018.40	$9,388.90	$16,394.00