Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.27 / $1,615.00 / $10,561.00	Facility		$310.27	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $310.27 / $441.94 / $799.00	Facility		$310.27	$441.94	$799.00
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 $1,745.34 / $14,302.50 / $26,542.00	Facility		$1,745.34	$14,302.50	$26,542.00