Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,981.07 / $12,302.69	Facility		$363.08	$3,981.07	$12,302.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $562.34	Facility		$239.88	$346.74	$562.34
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 / $42,657.95	Facility		$9,332.54	$9,332.54	$42,657.95