Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.62 / $1,245.00 / $6,953.60	Facility		$598.62	$1,245.00	$6,953.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $598.62 / $833.83 / $1,521.75	Facility		$598.62	$833.83	$1,521.75
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 $3,968.16 / $12,000.00 / $27,110.45	Facility		$3,968.16	$12,000.00	$27,110.45