Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.97 / $489.30 / $4,311.00	Facility		$101.97	$489.30	$4,311.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $193.16 / $366.98	Facility		$95.34	$193.16	$366.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $463.55 / $463.55 / $12,000.00	Facility		$463.55	$463.55	$12,000.00