Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $8,709.64	Facility		$812.83	$1,659.59	$8,709.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $1,202.26	Facility		$524.81	$741.31	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $21,379.62 / $28,840.32	Facility		$9,549.93	$21,379.62	$28,840.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $72,443.60 / $72,443.60	Facility		$45,708.82	$72,443.60	$72,443.60