Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.53 / $1,338.00 / $8,413.00	Facility		$432.53	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.53 / $631.19 / $1,100.52	Facility		$432.53	$631.19	$1,100.52
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 $1,621.36 / $14,302.50 / $26,542.00	Facility		$1,621.36	$14,302.50	$26,542.00