Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.09 / $1,296.09 / $7,439.00	Facility		$801.09	$1,296.09	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $801.09 / $1,108.72 / $2,036.47	Facility		$801.09	$1,108.72	$2,036.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,097.00	Facility		$1,258.00	$3,733.00	$6,097.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,818.65 / $4,721.64	Facility		$55.00	$3,818.65	$4,721.64