Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,659.59 / $7,585.78	Facility		$407.38	$1,659.59	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $588.84	Facility		$257.04	$363.08	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,244.36 / $10,471.29	Facility		$2,511.89	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $28,840.32	Facility		$9,332.54	$9,332.54	$28,840.32