Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.45 / $1,245.00 / $7,362.00	Facility		$288.45	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.45 / $397.14 / $741.64	Facility		$288.45	$397.14	$741.64
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 $1,108.96 / $12,000.00 / $14,302.50	Facility		$1,108.96	$12,000.00	$14,302.50