Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.62 / $1,615.00 / $10,561.00	Facility		$452.62	$1,615.00	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $452.62 / $643.12 / $1,144.08	Facility		$452.62	$643.12	$1,144.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,162.00 / $10,502.00	Facility		$2,526.00	$7,162.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,552.16 / $14,302.50 / $26,542.00	Facility		$2,552.16	$14,302.50	$26,542.00