Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $1,245.00 / $7,439.00	Facility		$62.07	$1,245.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $89.10 / $158.41	Facility		$62.07	$89.10	$158.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $233.44 / $9,388.90 / $16,394.00	Facility		$233.44	$9,388.90	$16,394.00