Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $1,245.00 / $7,439.00	Facility		$612.50	$1,245.00	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $849.03 / $1,550.41	Facility		$612.50	$849.03	$1,550.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,306.96 / $9,388.90 / $16,394.00	Facility		$2,306.96	$9,388.90	$16,394.00