Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.96 / $1,338.00 / $8,413.00	Facility		$698.96	$1,338.00	$8,413.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $698.96 / $943.02 / $1,707.48	Facility		$698.96	$943.02	$1,707.48
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,232.00 / $45,099.00	Facility		$12,077.00	$26,232.00	$45,099.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,650.64 / $26,542.00 / $95,250.75	Facility		$2,650.64	$26,542.00	$95,250.75