Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $204.49 / $5,449.00	Facility		$93.57	$204.49	$5,449.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $180.57 / $320.83	Facility		$93.57	$180.57	$320.83
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 $495.00 / $495.00 / $12,000.00	Facility		$495.00	$495.00	$12,000.00