Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.39 / $2,366.81 / $10,561.00	Facility		$297.39	$2,366.81	$10,561.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.39 / $461.16 / $756.11	Facility		$297.39	$461.16	$756.11
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 $1,122.88 / $4,017.35 / $26,542.00	Facility		$1,122.88	$4,017.35	$26,542.00