Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.27 / $1,849.00 / $10,924.00	Facility		$905.27	$1,849.00	$10,924.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $905.27 / $1,270.49 / $2,291.03	Facility		$905.27	$1,270.49	$2,291.03
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 $5,971.63 / $14,302.50 / $26,542.00	Facility		$5,971.63	$14,302.50	$26,542.00