Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $1,338.00 / $8,413.00	Facility		$520.04	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $724.53 / $1,322.39	Facility		$520.04	$724.53	$1,322.39
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,968.60 / $26,542.00 / $71,752.60	Facility		$1,968.60	$26,542.00	$71,752.60