Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $1,338.00 / $8,413.00	Facility		$176.77	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $352.72 / $522.75	Facility		$176.77	$352.72	$522.75
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 $1,172.50 / $9,388.90 / $26,542.00	Facility		$1,172.50	$9,388.90	$26,542.00