Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $7,762.47	Facility		$398.11	$1,513.56	$7,762.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $977.24	Facility		$398.11	$575.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $28,840.32	Facility		$14,454.40	$14,454.40	$28,840.32