Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.85 / $1,245.00 / $7,362.00	Facility		$765.85	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $765.85 / $1,034.16 / $1,923.24	Facility		$765.85	$1,034.16	$1,923.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,085.64 / $12,000.00 / $18,298.20	Facility		$5,085.64	$12,000.00	$18,298.20