Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,202.26 / $7,762.47	Facility		$295.12	$1,202.26	$7,762.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $389.05	Facility		$186.21	$257.04	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $10,471.29	Facility		$1,995.26	$7,244.36	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $28,840.32	Facility		$5,495.41	$5,495.41	$28,840.32