Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.05 / $1,615.00 / $12,615.00	Facility		$732.05	$1,615.00	$12,615.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $732.05 / $1,107.85 / $1,656.61	Facility		$732.05	$1,107.85	$1,656.61
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 $55.00 / $3,453.95 / $8,159.60	Facility		$55.00	$3,453.95	$8,159.60