Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $4,376.00 / $7,355.89	Facility		$202.26	$4,376.00	$7,355.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.89 / $278.22 / $474.22	Facility		$176.89	$278.22	$474.22
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 $903.88 / $903.88 / $16,394.00	Facility		$903.88	$903.88	$16,394.00